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W BRUCE CLARK MD PC
NPI 1396959110
Obstetrics & Gynecology in Latham, NY

Active since May 10, 2007CLIA 33D0161396 · Microscopy
585 NEW LOUDON RD, LATHAM, NY 12110(518) 783-1472(518) 783-1605 Get Directions Write a Review

NPPES record last updated: February 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About W Bruce Clark Md Pc NPPES

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

W BRUCE CLARK MD PC (NPI 1396959110) is a healthcare organization registered as an obstetrics & gynecology in Latham, New York and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through February 7, 2027 and lists Denise Mcnamara, Medical Biller, as its authorized official.

NPPES Registry Identity

NPI1396959110
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameW BRUCE CLARK MD PC
Location Address585 NEW LOUDON RDLatham, NY 12110-5701
Mailing Address585 New Loudon RdLatham, NY 12110-5701 · (518) 783-1472 · Fax (518) 783-1605
Phone(518) 783-1472
Fax(518) 783-1605
Organization SubpartNo
Authorized OfficialDenise McnamaraMedical Biller · (518) 783-1472
Enumeration DateMay 10, 2007
Last NPPES UpdateFebruary 26, 2008
✔ NPI 1396959110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
585 NEW LOUDON RD, Latham, NY 12110
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Other Identifiers 5

Medicaid01698282NY
Medicare PIN52188A
Medicaid00798590NY
Medicaid01866453NY
Medicaid02425116NY

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) 33D0161396

W Bruce Clark MD PC · Latham, NY
Active · expires Feb 7, 2027
CLIA Number33D0161396
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorDr. W Bruce Clark
Laboratory Phone(518) 783-1472
Laboratory LocationW Bruce Clark MD PC585 New Loudon Road, Latham, NY 12110
CLIA data matches this NPI record on: Address Name 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.

NICOLE ALISON DEYETTE FNP-C
Nurse Practitioner (Family)
585 NEW LOUDON RD
LATHAM, NY 12110
Albany County (518) 783-1472
ELIZABETH KREUTER
Obstetrics & Gynecology
585 NEW LOUDON RD
LATHAM, NY 12110
Albany County (518) 783-1472

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 W Bruce Clark MD PC's NPI number?

The NPI number for W Bruce Clark MD PC is 1396959110. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is W Bruce Clark MD PC located?

W Bruce Clark MD PC is located at 585 New Loudon Rd, Latham, NY 12110. The listed phone number is (518) 783-1472.

What is W Bruce Clark MD PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does W Bruce Clark MD PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D0161396) is associated with this NPI, valid through February 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for W Bruce Clark MD PC was last updated on February 26, 2008. 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.