BRIAN THOMAS CLARK IDC
NPI 1093744427
Military Health Care Provider - Independent Duty Corpsman in Virginia Beach, VA

Q: What is Brian Clark's NPI number?

The NPI number for Brian Clark is 1093744427. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Q: What is Brian Clark's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Brian Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2006

3972 SHADY OAKS DR, VIRGINIA BEACH, VA 23455(757) 630-7081 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brian Thomas Clark Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN THOMAS CLARK IDC (NPI 1093744427) is an individual independent duty corpsman provider in Virginia Beach, Virginia and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1093744427

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameBRIAN THOMAS CLARKCredential: IDC

Location Address3972 SHADY OAKS DRVirginia Beach, VA 23455-1628

Mailing Address3972 Shady Oaks DrVirginia Beach, VA 23455-1628 · (757) 630-7081

Phone(757) 630-7081

Sole ProprietorNo

Enumeration DateJune 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1093744427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

3972 SHADY OAKS DR, Virginia Beach, VA 23455

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Clark's NPI number?

The NPI number for Brian Clark is 1093744427. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Brian Clark located?

Brian Clark practices at 3972 Shady Oaks Dr, Virginia Beach, VA 23455. The listed phone number is (757) 630-7081.

What is Brian Clark's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Brian Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.