PROF. BRUCE M CLARK C.P.O
NPI 1437252525
Specialist in Southfield, MI

Q: What is Bruce Clark's NPI number?

The NPI number for Bruce Clark is 1437252525. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Q: What is Bruce Clark's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Bruce Clark was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 06, 2006

24395 GREENFIELD RD, SOUTHFIELD, MI 48075(248) 557-2323(248) 557-3639 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Prof. Bruce M Clark C.p.o NPPES

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

PROF. BRUCE M CLARK C.P.O (NPI 1437252525) is an individual specialist in Southfield, Michigan, licensed in (921) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1437252525

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NamePROF. BRUCE M CLARKCredential: C.P.O

Location Address24395 GREENFIELD RDSouthfield, MI 48075-3118

Mailing Address24395 Greenfield RoadSouthfield, MI 48075 · (248) 557-2323 · Fax (248) 557-3639

Phone(248) 557-2323

Fax(248) 557-3639

Sole ProprietorYes

Enumeration DateSeptember 6, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1437252525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed · 921

Definition

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.

24395 GREENFIELD RD, Southfield, MI 48075

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Other Identifiers 2

Medicare ID-Type Unspecified0578050001MI · Provider Number

Medicaid05096363MI

Other Providers at the Same Location NPPES

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

ADVANCED ORTHOPEDIC LABORATORY INC

Prosthetic/Orthotic Supplier

24395 GREENFIELD RD
SOUTHFIELD, MI 48075

Oakland County (248) 557-2323

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 Bruce Clark's NPI number?

The NPI number for Bruce Clark is 1437252525. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Bruce Clark located?

Bruce Clark practices at 24395 Greenfield Rd, Southfield, MI 48075. The listed phone number is (248) 557-2323.

What is Bruce Clark's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bruce Clark was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.