DR. BRADLEY C CLARK MD
NPI 1316107642
Pediatrics - Pediatric Cardiology in Bronx, NY
About Dr. Bradley C Clark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRADLEY C CLARK MD (NPI 1316107642) is an individual pediatric cardiology provider in Bronx, New York, licensed in New York (261152) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Bradley C Clark Md 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.
Medicare Billing Reassignments
8Medicare enrollment records show Bradley Clark reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stillwater, MN 55082
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Minneapolis, MN 55414
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- 1,247 clinicians in this Medicare group
Hibbing, MN 55746
- Reassigned Medicare billing, Minnesota enrollment
- 707 clinicians in this Medicare group
Big Lake, MN 55309
- Reassigned Medicare billing, Minnesota enrollment
- 1,051 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BRONX, NY 10467
BRONX, NY 10467
BRONX, NY 10467
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 1316107642. It was assigned to this individual provider in the NPPES registry on June 10, 2008.
Where is Bradley Clark located?
Bradley Clark practices at 3415 Bainbridge Ave, Bronx, NY 10467. The listed phone number is (718) 741-2183.
What is Bradley Clark's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Bradley Clark enrolled in Medicare?
Yes. Bradley 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.
Which organizations bill Medicare for Bradley Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Clark reassigns Medicare benefits to 8 organizations: Healtheast Medical Research Institute (Stillwater, MN), Fairview Express Care (Woodbury, MN), Fairview Specialty Services (Saint Paul, MN), University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bradley Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bradley Clark accept?
Health plans from HealthPartners, Medica and Sanford Health Plan 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 March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Bradley C Clark, MD · NPI 1316107642
Pediatric Cardiology physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since June 10, 2008.
## Identity
- **NPI:** 1316107642 (Entity type: Individual)
- **Enumerated:** June 10, 2008
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 261152 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3415 BAINBRIDGE AVE, Bronx, NY 10467-2403
- **Phone:** (718) 741-2183
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Healtheast Medical Research Institute (NPI 1285929265, Stillwater, MN); Fairview Express Care (NPI 1700235587, Woodbury, MN); Fairview Specialty Services (NPI 1912066218, Saint Paul, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN); University Of Minnesota Physicians (NPI 1477598118, Minneapolis, MN); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1316107642) · Data from the CMS NPPES public registry.