W BRUCE CLARK MD PC
NPI 1396959110
Obstetrics & Gynecology in Latham, NY
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
Specialties & Licenses
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
W Bruce Clark Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to W Bruce Clark MD PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 14 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYFrequently 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.
Is W Bruce Clark MD PC enrolled in Medicare?
Yes. W Bruce Clark MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through W Bruce Clark MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 3 Medicare specialties reassign their Medicare billing to W Bruce Clark MD PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (8), Obstetrics/Gynecology (7) and Certified Nurse Midwife (CNM) (1). Of these, 1 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# W Bruce Clark Md Pc · NPI 1396959110
Obstetrics & Gynecology organization in Latham, New York. Organization record, active in the CMS NPPES registry since May 10, 2007.
## Identity
- **NPI:** 1396959110 (Entity type: Organization)
- **Enumerated:** May 10, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Denise Mcnamara, MEDICAL BILLER
## Practice location
- **Address:** 585 NEW LOUDON RD, Latham, NY 12110-5701
- **Phone:** (518) 783-1472 · **Fax:** (518) 783-1605
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Obstetrics/Gynecology (7), Certified Nurse Midwife (CNM) (1); 1 practice at this address and 14 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 26, 2008
- **Other identifiers:** Medicaid 01698282 (NY); Medicare PIN 52188A; Medicaid 00798590 (NY); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396959110) · Data from the CMS NPPES public registry.