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CLARK BRITTAIN DO PC
NPI 1215908827
Obstetrics & Gynecology - Gynecology in Bloomington, IN

Active since January 31, 2006
642 S WALKER ST, BLOOMINGTON, IN 47403(812) 331-9160(812) 336-0277 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clark Brittain Do Pc NPPES

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

CLARK BRITTAIN DO PC (NPI 1215908827) is a healthcare organization registered as a gynecology in Bloomington, Indiana and active in the NPI registry since January 2006. The organization lists P. Clark Brittain, Owner, as its authorized official.

NPPES Registry Identity

NPI1215908827
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameCLARK BRITTAIN DO PC
Location Address642 S WALKER STBloomington, IN 47403-2158
Mailing Address642 S Walker StBloomington, IN 47403-2158 · (812) 331-9160 · Fax (812) 336-0277
Phone(812) 331-9160
Fax(812) 336-0277
Organization SubpartNo
Authorized OfficialP. Clark BrittainOwner · (812) 331-9160
Enumeration DateJanuary 31, 2006
Last NPPES UpdateOctober 18, 2007
✔ NPI 1215908827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
642 S WALKER ST, Bloomington, IN 47403
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Other Identifiers 3

Other000000112969IN · Anthem Bs
OtherCJ4778IN · Travelers Medicare
Medicare ID-Type Unspecified185410IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 15D0946428

P Clark Brittain LLC Dba Vibrant Life · Bloomington, IN
Expired · Aug 16, 2026
CLIA Number15D0946428
Laboratory TypePhysician Office
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorPhilip Clark Brittain
Laboratory Phone(812) 331-9160
Laboratory LocationP Clark Brittain LLC Dba Vibrant Life642 S Walker Street, Bloomington, IN 47403
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

PHILIP CLARK BRITTAIN DO
Obstetrics & Gynecology (Gynecology)
642 S WALKER ST
BLOOMINGTON, IN 47403
Monroe County (812) 331-9160
MARY MAHERN MD
Family Medicine
642 S WALKER ST
BLOOMINGTON, IN 47403
Monroe County (812) 331-9160

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 Clark Brittain Do PC's NPI number?

The NPI number for Clark Brittain Do PC is 1215908827. It was assigned to this organization in the NPPES registry on January 31, 2006.

Where is Clark Brittain Do PC located?

Clark Brittain Do PC is located at 642 S Walker St, Bloomington, IN 47403. The listed phone number is (812) 331-9160.

What is Clark Brittain Do PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Clark Brittain Do PC was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.