PROF. BRUCE M CLARK C.P.O
NPI 1437252525
Specialist in Southfield, MI
- Individual
- Male
- Specialist
About BRUCE CLARK
This page provides the complete NPI Profile along with additional information for Bruce Clark, a provider established in Southfield, Michigan with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1437252525 assigned on September 2006. The practitioner's primary taxonomy code is 174400000X with license number 921 (). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1437252525 Verify this NPI
- Provider Name
- PROF. BRUCE M CLARK C.P.O
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 24395 GREENFIELD RD SOUTHFIELD, MI 48075
- Location Phone
- (248) 557-2323
- Location Fax
- (248) 557-3639
- Mailing Address
- 24395 GREENFIELD ROAD SOUTHFIELD, MI 48075
- Mailing Phone
- (248) 557-2323
- Mailing Fax
- (248) 557-3639
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-06-2006
- Last Update Date
- 07-09-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 921
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0578050001 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | PROVIDER NUMBER |
| 05096363 | MEDICAID (05) | MI |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
SOUTHFIELD, MI 48075
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437252525, enumerated as an "individual" on September 06, 2006.
The provider is located at 24395 GREENFIELD RD SOUTHFIELD, MI 48075 and the phone number is (248) 557-2323.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
