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MRS. BRENDA B CLARK PHYSICIANS ASSISTANT
NPI 1417979576
Physician Assistant - Surgical in Wentworth, NC

Active since July 24, 2006
371 NC HWY 65, SUITE204 ROCKINGHAM CO. DEPT OF PUBLIC HEALTH, WENTWORTH, NC 27375(336) 342-8140(336) 342-8356 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Brenda B Clark Physicians Assistant NPPES

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

MRS. BRENDA B CLARK PHYSICIANS ASSISTANT (NPI 1417979576) is an individual surgical provider in Wentworth, North Carolina, licensed in North Carolina (100487) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1417979576
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. BRENDA B CLARKCredential: PHYSICIANS ASSISTANT
Location Address371 NC HWY 65, SUITE204 ROCKINGHAM CO. DEPT OF PUBLIC HEALTHWentworth, NC 27375-0204
Mailing Address371 Nc Hwy 65, Suite204 Rockingham Co. Dept Of Public HealthWentworth, NC 27375-0204 · (336) 342-8140 · Fax (336) 342-8356
Phone(336) 342-8140
Fax(336) 342-8356
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateJuly 3, 2008
✔ NPI 1417979576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NC · 100487
371 NC HWY 65, Wentworth, NC 27375
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Other Identifiers 1

Medicare ID-Type Unspecified2745729NC

Other Providers at the Same Location NPPES 5

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

ROCKINGHAM COUNTY FINANCE OFFICE
Clinic/Center (Public Health, State or Local)
371 NC HWY 65, STE 204
WENTWORTH, NC 27375
Rockingham County (336) 342-8140
SHRUTI SHASTRI DDS
Dentist
371 NC HWY 65, STE 204
WENTWORTH, NC 27375
Rockingham County (336) 342-8296
DEBRA ALLEN ANP GNP
Nurse Practitioner
371 NC HWY 65, STE 204
WENTWORTH, NC 27375
Rockingham County (336) 342-8140
MS. ROCHELLE D MUSE PAC
Physician Assistant
371 NC HWY 65, SUITE 204
WENTWORTH, NC 27375
Rockingham County (336) 342-8140
MRS. ANGELA STAAB ANP GNP
Nurse Practitioner
371 NC HWY 65
WENTWORTH, NC 27375
Rockingham County (336) 342-8216

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 Brenda Clark's NPI number?

The NPI number for Brenda Clark is 1417979576. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Brenda Clark located?

Brenda Clark practices at 371 Nc Hwy 65 Suite204 Rockingham Co. Dept Of Public Health, Wentworth, NC 27375. The listed phone number is (336) 342-8140.

What is Brenda Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Brenda Clark was last updated on July 3, 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.