JOHN DOUGLAS CLARK JR. MD
NPI 1245890672
Family Medicine in Brevard, NC

Q: What is John Clark's NPI number?

The NPI number for John Clark is 1245890672. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Q: What is John Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for John Clark was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 18, 2019

54 MEADOWBROOK CIR, BREVARD, NC 28712(828) 553-7860 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About John Douglas Clark Jr. Md NPPES

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

JOHN DOUGLAS CLARK JR. MD (NPI 1245890672) is an individual family medicine provider in Brevard, North Carolina, licensed in North Carolina (94-01153) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1245890672

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOHN DOUGLAS CLARK JR.Credential: MD

Location Address54 MEADOWBROOK CIRBrevard, NC 28712-8543

Mailing Address54 Meadowbrook CirBrevard, NC 28712-8543 · (828) 553-7860

Phone(828) 553-7860

Sole ProprietorYes

Enumeration DateJune 18, 2019

✔ NPI 1245890672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NC · 94-01153

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

54 MEADOWBROOK CIR, Brevard, NC 28712

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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 John Clark's NPI number?

The NPI number for John Clark is 1245890672. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is John Clark located?

John Clark practices at 54 Meadowbrook Cir, Brevard, NC 28712. The listed phone number is (828) 553-7860.

What is John Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for John Clark was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.