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BRYAN A CLARK PA-C
NPI 1093777047
Physician Assistant - Surgical in Sandy, UT

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
9844 S 1300 E, STE 275, SANDY, UT 84094(801) 571-7061(801) 571-9277 Get Directions Write a Review

NPPES record last updated: April 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bryan A Clark Pa-c NPPES

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

BRYAN A CLARK PA-C (NPI 1093777047) is an individual surgical provider in Sandy, Utah, licensed in Utah (3231151206) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Intermountain Health Alta View Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1093777047
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRYAN A CLARKCredential: PA-C
Location Address9844 S 1300 E, STE 275Sandy, UT 84094-4692
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 571-7061
Phone(801) 571-7061
Fax(801) 571-9277
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 5, 2006
Last NPPES UpdateApril 22, 2016
✔ NPI 1093777047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in UT · 3231151206
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 3231151206 (UT)
9844 S 1300 E, Sandy, UT 84094
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Other Identifiers 4

Medicare PIN000012641UT
Medicaid999000116008UT
Other107021850101UT · Intermountain Health
Medicare UPINP76770UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryan A Clark Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577535129
PECOS Enrollment IDI20040812000804
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Intermountain Health Alta View Hospital

Acute Care Hospitals · Sandy, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460044
Location9660 South 1300 EastSandy, UT 84094 · Salt Lake County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY S GORDON, MDPC
Orthopaedic Surgery
9844 S 1300 E, SUITE #100
SANDY, UT 84094
Salt Lake County (801) 571-9433
NORTHPOINTE REHAB
Clinic/Center (Physical Therapy)
9844 S 1300 E, SUITE 275
SANDY, UT 84094
Salt Lake County (801) 871-5228
ALTA VIEW HEALTH & WELLNESS
Chiropractor
9844 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 523-3898
DR. DAVID JOEL BREDING M.D.
Specialist
9844 S 1300 E, #335
SANDY, UT 84094
Salt Lake County (801) 571-8517
CHRISTIAN L. SYBROWSKY, MD, PLLC
Orthopaedic Surgery
9844 S 1300 E, SUITE 100
SANDY, UT 84094
Salt Lake County (801) 571-9433
THOMAS M DIETZ MD
Internal Medicine
9844 S 1300 E, #200
SANDY, UT 84094
Salt Lake County (801) 572-1472
MCKAY R MILNE PA-C
Physician Assistant (Medical)
9844 S 1300 E
SANDY, UT 84094
Salt Lake County (801) 571-9433
GRANT E HAWKINS MD
Internal Medicine
9844 S 1300 E, #200
SANDY, UT 84094
Salt Lake County (801) 572-1472

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 Bryan Clark's NPI number?

The NPI number for Bryan Clark is 1093777047. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Bryan Clark located?

Bryan Clark practices at 9844 S 1300 E Ste 275, Sandy, UT 84094. The listed phone number is (801) 571-7061.

What is Bryan Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Bryan Clark enrolled in Medicare?

Yes. Bryan Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bryan Clark accept?

Health plans from Select Health list Bryan Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bryan Clark affiliated with any hospitals?

According to CMS data, Bryan Clark is affiliated with Intermountain Health Alta View Hospital.

When was this NPI record last updated?

The NPPES record for Bryan Clark was last updated on April 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.