DR. BRIAN M CLARK (NPI# 1437159795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437159795 |
| Entity Type | Individual |
| Full Name | DR. BRIAN M CLARK |
| Credential | MD |
| Practice Address |
22 West St Ste 25 Millbury MA 01527-2677 |
| Practice Telephone | 5089176720 |
| Practice Fax Number | 5089176721 |
| Mailing Telephone | 5089176720 |
| Mailing Fax Number | 5089176721 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2019-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
226853 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2112191 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992363345 | Brian K Clark Sr. | Licensed Practical Nurse | 15201 Judson Dr, Cleveland, OH 44128-1956 | 2019-05-31 |
| 1073046421 | Brian Clark | Chiropractor | 140 Hidden Lake Ln, Peninsula, OH 44264-9578 | 2017-04-04 |
| 1538618277 | Brian Clark | Specialist/Technologist | 9950 Bruceville Rd Apt 147, Elk Grove, CA 95757-9511 | 2016-09-22 |
| 1942758222 | Brian Christopher Clark | Counselor | 2631 Bulverde Rd, Suite 108, Bulverde, TX 78163-2107 | 2016-09-15 |
| 1740653518 | Brian Clark | Pharmacist | 8312 Serenity Way, Denton, TX 76210-0823 | 2015-11-03 |
| 1437548062 | Brian Clark | Occupational Therapist | 4718 Tenbury Ln, Rocklin, CA 95677-4487 | 2015-01-20 |
| 1144524851 | Brian Allan Clark | Respiratory Therapist, Certified | 2910 N Saginaw Rd, Midland, MI 48640-2634 | 2011-01-10 |
| 1679801286 | Brian Keith Clark | Physical Therapy Assistant | 1407 Melbourne St, Foster City, CA 94404-3960 | 2009-11-20 |
| 1497907190 | Brian R. Clark | Counselor | 623 W Easterday Ave, Sault Sainte Marie, MI 49783-1625 | 2008-10-14 |
| 1083756274 | Brian Edward Clark | Dentist | 5544 Turney Rd, Garfield Hts, OH 44125-3780 | 2007-02-13 |
| Street Address |
22 WEST ST STE 25 |
| City | MILLBURY |
| State | MA |
| Zip Code | 01527-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063841534 | Kristen Nancy Feifert Clark | Advanced Practice Midwife | 22 West St Ste 25, Millbury, MA 01527-2622 | 2013-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841778479 | Richard Sylvester Chiaravalloti | Hearing Instrument Specialist | 91 Mccracken Rd. Hearing Aid Home Service, 91 Mccracken Rd., Millbury, MA 01527 | 2018-08-06 |
| 1992164859 | Monika Christine Mcfaul | Specialist | 16 Prospect Sreet, Millbury, MA 01527 | 2016-02-19 |
| 1174896005 | Jennifer M. Kenary | Occupational Therapist | 26 Rayburn Dr., Millbury, MA 01527 | 2012-02-23 |
| 1780970129 | Susan Marie Jacquot | Pharmacist | 90 Worcester-providence Turnpike, T1835, Millbury, MA 01527 | 2011-06-23 |
| 1659681302 | Town of Millbury | Clinic/Center | 127 Elm Street, Millbury, MA 01527 | 2010-10-15 |
| 1659331916 | Robert J Cavanaugh | Internal Medicine | 94 Elm St, Millbury, MA 01527 | 2006-03-23 |
| 1629675368 | Amna Abdulaziz Haider | Counselor | 50 Howe Ave, Millbury, MA 01527 | 2020-10-06 |
| 1467848382 | Emily Chang | Internal Medicine | 65 Canal St, Millbury, MA 01527 | 2015-04-07 |
| 1801187117 | Walter Richard Tincher Jr. | Pharmacist | 25 Main St, Rite Aid Pharmacy, Millbury, MA 01527 | 2011-04-21 |
| 1285612192 | Robert M Roddy Jr. | Physician Assistant | 94 Elm St, Milbury, MA 01527 | 2006-01-03 |
| Find all providers in zip 01527 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700215670 | New England Reproductive Medicine and Surgery LLC | Obstetrics & Gynecology | 22 West St, Suite 25, Millbury, MA 01527-2622 | 2013-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154851368 | Crmb Physician Group Pllc | Obstetrics & Gynecology | 300 Boylston, Newton Corner, MA 02459 | 2017-06-20 |
| 1295918027 | Samuel Allen Pauli | Obstetrics & Gynecology | 450 Bedford St Ste 1000, Lexington, MA 02420-1520 | 2007-12-16 |
| 1669663662 | Sander S Shapiro | Obstetrics & Gynecology | 18 Duck Pond Road, West Tisbury, MA 02575 | 2007-08-05 |
| 1568556702 | Robert Howe, Md, PC | Obstetrics & Gynecology | 281 Maple St, East Longmeadow, MA 01028-2712 | 2006-10-03 |
| 1013022078 | Charles-chidi W Obasiolu | Obstetrics & Gynecology | Ctr for Fertility & Repro Hlth, 133 Brookline Ave, Boston, MA 02215 | 2006-08-20 |
| 1942243076 | Alison E Zimon | Obstetrics & Gynecology | 300 Boylston Street, Ccrm Boston, Suite 300, Newton Corner, MA 02459 | 2006-06-14 |
| 1962459131 | Dan Tulchinsky | Obstetrics & Gynecology | 1 Forbes Rd., Reproductive Science Ctr., Lexington, MA 02421 | 2006-05-31 |
| 1992742191 | Kim L Thornton | Obstetrics & Gynecology | 130 2d Avenue, Boston Ivf - The Waltham Center, Waltham, MA 02451 | 2006-05-31 |
| 1154375038 | Steven Robert Bayer | Obstetrics & Gynecology | 1 Brookline Pl Ste 302, Boston Ivf - The Boston Center, Brookline, MA 02445-7237 | 2006-05-22 |
| 1255391256 | John H Derry | Obstetrics & Gynecology | One Forbes Road, Lexington, MA 02421 | 2006-03-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.