DR. BRADLEY J CLARK DDS
NPI 1114052966
Dentist - General Practice in Broken Bow, NE

Q: What is Bradley Clark's NPI number?

The NPI number for Bradley Clark is 1114052966. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Q: What is Bradley Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Bradley 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 February 22, 2007

310 S 9TH AVE, BROKEN BOW, NE 68822(308) 872-2575 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Bradley J Clark Dds NPPES

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

DR. BRADLEY J CLARK DDS (NPI 1114052966) is an individual general practice provider in Broken Bow, Nebraska, licensed in Nebraska (6126) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1114052966

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRADLEY J CLARKCredential: DDS

Location Address310 S 9TH AVEBroken Bow, NE 68822-2014

Mailing AddressPo Box 117, 310 South 9th Ave.Broken Bow, NE 68822-0117 · (308) 872-2575

Phone(308) 872-2575

Sole ProprietorYes

Enumeration DateFebruary 22, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114052966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NE · 6126

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

310 S 9TH AVE, Broken Bow, NE 68822

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Other Identifiers 1

Other5251NE · Blue Cross Blue Shield #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 Bradley Clark's NPI number?

The NPI number for Bradley Clark is 1114052966. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Bradley Clark located?

Bradley Clark practices at 310 S 9th Ave, Broken Bow, NE 68822. The listed phone number is (308) 872-2575.

What is Bradley Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Bradley Clark accept?

Health plans from Anthem Blue Cross and Blue Shield list Bradley 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.

When was this NPI record last updated?

The NPPES record for Bradley 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.