BRETT M. CLARKE (NPI# 1851412829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851412829 |
| Entity Type | Individual |
| Full Name | BRETT M. CLARKE |
| Credential | MD |
| Practice Address |
2300 E 30th St Bldg D-102 Farmington NM 87401-8990 |
| Practice Telephone | 5053274429 |
| Practice Fax Number | 5053274420 |
| Mailing Telephone | 5053274429 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
MD2008-0042 | NM | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | AR | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386796316 | Brett H Clarke | Social Worker | 3001 Highland Ave, Cincinnati, OH 45219-2315 | 2007-01-18 |
| Street Address |
2300 E 30TH ST BLDG D-102 |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-8990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677791 | Joseph Perry Pope | Family Medicine | 2300 E 30th St, Bldg B, Farmington, NM 87401-8990 | 2005-05-23 |
| 1851751432 | Keith Maxwell Bull | Nurse Anesthetist, Certified Registered | 2300 E 30th St, Building A, Farmington, NM 87401-8990 | 2016-02-25 |
| 1861745945 | Melissa Lea-foster Rietz | Nurse Practitioner | 2300 E 30th St, Ste C2, Farmington, NM 87401-8991 | 2012-10-26 |
| 1922308782 | Craig Burgess | Pharmacist | 2300 E 30th St, Farmington, NM 87401-8990 | 2010-10-27 |
| 1912139452 | Richard Louis Hutchison, Md, PC | Plastic Surgery | 2300 E 30th St, Building B, Suite 103, Farmington, NM 87401-8990 | 2009-08-18 |
| 1518106004 | James F Burpee | Urology | 2300 E 30th St, Bldg B Suite 106, Farmington, NM 87401-8990 | 2009-02-06 |
| 1710190350 | Adult & Pediatric Urology, LLC | Urology | 2300 E 30th St, Bldg B Suite 106, Farmington, NM 87401-8990 | 2007-05-08 |
| 1528141843 | San Juan Regional Medical Center Inc | Psychiatry & Neurology | 2300 E 30th St, Building 102, Farmington, NM 87401-8990 | 2006-10-23 |
| 1265527642 | R Stephen Rankin | Pediatrics | 2300 E 30th St, Bldg C2, Farmington, NM 87401-8990 | 2006-10-03 |
| 1598879652 | Pinon Family Practice PC | Family Medicine | 2300 E 30th St, Bldg C-2, Farmington, NM 87401-8990 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 207YX0602X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngic Allergy |
| An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114942257 | David Lee Wilkey | Otolaryngology | 2300 E 30th St, Bldg D-102, Farmington, NM 87401-8990 | 2006-07-12 |
| 1821020363 | Pinon Hills Ear, Nose, and Throat Associates, Pa | Otolaryngology | 2300 E 30th St, Bldg D-102, Farmington, NM 87401-8990 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831284967 | Sparks Clinic PC | Otolaryngology | 1000 N. Hudson St., Silver City, NM 88061 | 2006-10-04 |
| 1881627396 | Gerald Norman Bart | Otolaryngology | 200 Oak St Ne, Ste 3, Albuquerque, NM 87106-5614 | 2006-07-08 |
| 1073568564 | Twana Livette Sparks | Otolaryngology | 1000 N Hudson St, Silver City, NM 88061-5516 | 2006-05-23 |
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on BRETT M. CLARKE.
| 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.