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DR. BRADLEY CLARK M.D.
NPI 1124354964
Emergency Medicine in Inkom, ID

Active since October 29, 2009
423 E ELAINE CIR, INKOM, ID 83245(208) 251-9482 Get Directions Write a Review

NPPES record last updated: October 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bradley Clark M.d. NPPES

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

DR. BRADLEY CLARK M.D. (NPI 1124354964) is an individual emergency medicine provider in Inkom, Idaho, licensed in Idaho (M-8299) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1124354964
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BRADLEY CLARKCredential: M.D.
Location Address423 E ELAINE CIRInkom, ID 83245-1716
Mailing Address423 E Elaine CirInkom, ID 83245-1716 · (208) 251-9482
Phone(208) 251-9482
Sole ProprietorYes
Enumeration DateOctober 29, 2009
✔ NPI 1124354964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in ID · M-8299
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
423 E ELAINE CIR, Inkom, ID 83245
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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 Bradley Clark's NPI number?

The NPI number for Bradley Clark is 1124354964. It was assigned to this individual provider in the NPPES registry on October 29, 2009.

Where is Bradley Clark located?

Bradley Clark practices at 423 E Elaine Cir, Inkom, ID 83245. The listed phone number is (208) 251-9482.

What is Bradley Clark's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Bradley Clark was last updated on October 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.