BRENT CLARK


Address: 631 Main Street, Bethel, AK 99559-1908
Phone: 9075433773

BRENT CLARK (NPI# 1952830226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952830226
Entity Type Individual
Full Name BRENT CLARK
Credential MSN, APRN, NP-C
Practice Address 631 Main Street
Bethel
AK 99559-1908
Mailing Address Po Box 1908
Bethel
AK 99559-1908
Practice Telephone 9075433773
Mailing Telephone 9075433773
Enumeration Date 2017-06-08
Last Update Date 2019-10-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
122126 AK Physician Assistants & Advanced Practice Nursing Providers

Other Providers BRENT CLARK

NPI Name Taxonomy Address Enumeration
1508906751 Brent Gilford Clark Dentist Us 23 Hayes Complex, Betsy Layne, KY 41605-0001 2007-02-07
1174636419 Brent Wayne Clark Dentist 103 Superior Dr, Spring Lake, NC 28390-3193 2006-08-17
1902874456 Brent Clark Family Medicine 9816 Frankstown Rd, Pittsburgh, PA 15235-1643 2006-03-10
1407820418 Brent A Clark Podiatrist 526 N Mullan Rd, Spokane Valley, WA 99206-2408 2006-02-15

Office Location

Street Address 631 MAIN STREET
City BETHEL
State AK
Zip Code 99559-1908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124078019 Bethel Family Clinic Clinic/Center 631 Main Street, Bethel, AK 99559-1908 2006-05-11
1699207126 Joan Ellen Daniels Nurse Practitioner 631 Main Street, Bethel, AK 99559 2017-04-03
1447560248 Patsy Ann Cooper Nurse Practitioner 631 Main Street, Bethel, AK 99559-1908 2010-10-14
1336460245 Dennis Raines Counselor 631 Main Street, Bethel, AK 99559 2010-06-15
1306898200 Gloria Ann Evans Nurse Practitioner 631 Main Street, Bethel, AK 99559 2006-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194337519 Michael P Nicolai Case Manager/Care Coordinator 829 Chief Eddie Hoffman Hey, Bethel, AK 99559 2020-08-18
1003438508 Enc Physical Therapy LLC Physical Therapist 223 Blackberry Street, Unit A, Bethel, AK 99559 2020-05-07
1780229609 Laline Knox Massage Therapist 107 Alex Hatley Ste 1, Bethel, AK 99559 2019-11-14
1659920502 Ana Celina Sebastian Counselor 1380 Calista Dr, Bethel, AK 99559 2019-09-04
1639730484 Jerri Linda Moran-gentle Massage Therapist 430 A 7th Ave, Bethel, AK 99559 2019-06-24
1528625381 Jennifer Peeks Social Worker 631 4th Ave. & Main St., Bethel, AK 99559 2019-05-28
1710451190 Mary Theresa Thibeault Registered Nurse Bethel Public Health Center, 1490 Eddie Hoffman Highway, Bethel, AK 99559 2019-01-18
1659846210 Freda Lizann Jimmie Counselor 829 Eddie Hoffman Highway, Bethel, AK 99559 2018-10-10
1073093977 Romeo Mullai Counselor 1630 Calista Drive, Bethel, AK 99559 2018-08-20
1235623794 Brian Justin Moses Day Training/Habilitation Specialist 841 Chief Eddie Hoffman Highway, Bethel, AK 99559 2018-06-19
Find all providers in zip 99559

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134743370 Matthew G Horgan Nurse Practitioner 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0827 2020-06-03
1154695641 Kathy Brock Nurse Practitioner 2429 Swngs Corner Pt Isab Rd, Bethel, OH 45106-9445 2012-02-29
1447371174 Laura Whitman Nurse Practitioner Yukon Kuskokwim Correctional Center, Pouch 400 - 1000 State Highway, Bethel, AK 99559 2007-04-02
1134747900 Christopher Martin Pioli Nurse Practitioner 6 Stony Hill Rd, Bethel, CT 06801-1053 2020-07-08
1780234633 Carly Hanson Nurse Practitioner 32 Railroad St, Bethel, ME 04217-3819 2019-09-12
1295298933 Yasmin Santos Nurse Practitioner 6 Stony Hill Rd, Bethel, CT 06801-1053 2019-04-10
1891264727 Laura Ann Koskenmaki Nurse Practitioner 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2018-11-20
1053806414 Ashley Fairbanks Glasheen Nurse Practitioner 528 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 2018-06-28
1699207126 Joan Ellen Daniels Nurse Practitioner 631 Main Street, Bethel, AK 99559 2017-04-03
1891226221 Kristin Arsenault Nurse Practitioner 32 Railroad St, Bethel, ME 04217-1367 2017-03-27
Find all providers in BETHEL

Competitor

Search similar providers

City BETHEL
Zip Code 99559

Improve Information

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Dataset Information

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.

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