Bradly Clark (NPI# 1023098928, PAC ID# 2961465588) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1023098928 |
| PAC ID by PECOS | 2961465588 |
| Professional Enrollment ID | I20111115000123 |
| Full Name | Bradly Clark |
| Organization Legal Name | POPLAR HEALTHCARE PLLC |
| Address |
150 Collins St Memphis TN 38112-3814 |
| Gender | M |
| Credential | MD |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 5496731838 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 310 N St of Franklin Rd, 202 Suite 202, Johnson City, TN 37604-6063 | 4239297111 | GASTROINTESTINAL ASSOCIATES OF NORTHEAST TENNESSEE, PC |
| 150 Collins St, Memphis, TN 38112-3814 | POPLAR HEALTHCARE PLLC | |
| 3495 Hacks Cross Rd, Memphis, TN 38125-8803 | 9015267444 | POPLAR HEALTHCARE PLLC |
| Organization Legal Name | POPLAR HEALTHCARE PLLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lydia Margarita Makapugay | Pathology | Poplar Healthcare Pllc | 260 Shoppingway Blvd, Suite 7, West Memphis, AR 72301-1736 |
| David B Thomas | Pathology | Poplar Healthcare Pllc | 6925 Lake Ellenor Dr, Suite 2, Orlando, FL 32809-4631 |
| Frank D Osborn | Pathology | Poplar Healthcare Pllc | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 |
| Radoslaw Filip Bieniek | Pathology | Poplar Healthcare Pllc | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 |
| Changhyun M Choi | Pathology | Poplar Healthcare Pllc | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 |
| Amy J Budke | Pathology | Poplar Healthcare Pllc | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 |
| Ehab Rabaa | Pathology | Poplar Healthcare Pllc | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 |
| Har P Rai | Pathology | Poplar Healthcare Pllc | 150 Collins St, Memphis, TN 38112-3814 |
| Richard L Roberts | Pathology | Poplar Healthcare Pllc | 3495 Hacks Cross Rd, Memphis, TN 38125-8803 |
| Barry J White | Pathology | Poplar Healthcare Pllc | 150 Collins St, Memphis, TN 38112-3814 |
| Street Address |
150 COLLINS ST |
| City | MEMPHIS |
| State | TN |
| Zip | 38112-3814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Har P Rai | Pathology | Poplar Healthcare Pllc | 150 Collins St, Memphis, TN 38112-3814 |
| Barry J White | Pathology | Poplar Healthcare Pllc | 150 Collins St, Memphis, TN 38112-3814 |
| Cristina M Shimek | Pathology | Poplar Healthcare Pllc | 150 Collins St, Memphis, TN 38112-3814 |
| Joshua B Tennenbaum | Pathology | Poplar Healthcare Pllc | 150 Collins St, Memphis, TN 38112-3814 |
| Susan C Goodman | Pathology | Poplar Healthcare Pllc | 150 Collins St, Memphis, TN 38112-3814 |
| Richard Shawn Kinsey | Pathology | Poplar Healthcare Pllc | 150 Collins St, Memphis, TN 38112-3814 |
| Gail Bentley | Hematology/oncology | Poplar Healthcare Pllc | 150 Collins St, Memphis, TN 38112-3814 |
| S Nasir H Zaidi | Pathology | Poplar Healthcare Pllc | 150 Collins St, Memphis, TN 38112-3814 |
| Maha M Al Khawaja | Pathology | Poplar Healthcare Pllc | 150 Collins St, Memphis, TN 38112-3814 |
| Chukwuma O Onyeagocha | Pathology | Poplar Healthcare Pllc | 150 Collins St, Memphis, TN 38112-3814 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell Mcalister | Obstetrics/gynecology | Christ Community Health Services Inc. | 2861 Broad Ave, Memphis, TN 38112-2903 |
| Katherine C Liu | Obstetrics/gynecology | Christ Community Health Services Inc. | 2861 Broad Ave, Memphis, TN 38112-2903 |
| Kelley V Scott | Nurse Practitioner | Christ Community Health Services Inc. | 2861 Broad Ave, Memphis, TN 38112-2903 |
| John Epting | Family Medicine | Christ Community Health Services Inc. | 2861 Broad Ave, Memphis, TN 38112-2903 |
| Halle Reynolds | Nurse Practitioner | Christ Community Health Services Inc. | 2861 Broad Ave, Memphis, TN 38112-2903 |
| Jessica Seay | Physician Assistant | Christ Community Health Services Inc. | 2861 Broad Ave, Memphis, TN 38112-2903 |
| Lissa N Roux | Nurse Practitioner | Christ Community Health Services Inc. | 2861 Broad Ave, Memphis, TN 38112-2903 |
| Audrey B.r. Vanwylen | Family Medicine | Christ Community Health Services Inc. | 2861 Broad Ave, Memphis, TN 38112-2903 |
| Terry Keith Grebe | Obstetrics/gynecology | Planned Parenthood Greater Memphis Region | 2430 Poplar Ave, Suite 100, Memphis, TN 38112-3246 |
| Charonda L Phifer | Nurse Practitioner | Planned Parenthood Greater Memphis Region | 2430 Poplar Ave, Suite 100, Memphis, TN 38112-3246 |
| Find all physicians in zip 38112 | |||
| City | MEMPHIS |
| Zip Code | 38112 |
| Specialty | PATHOLOGY |
| City + Specialty | MEMPHIS + PATHOLOGY |
Please comment or provide details below to improve the information on Bradly Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.