MR. BRYAN MICHAEL CLARK DO
NPI 1447990452
Family Medicine in Largo, FL

Q: What is Bryan Clark's NPI number?

The NPI number for Bryan Clark is 1447990452. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Q: What is Bryan Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Clark was last updated on August 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 29, 2022PECOS EnrolledAccepts Medicare Assignment

12020 SEMINOLE BLVD, LARGO, FL 33778(727) 588-9572 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Bryan Michael Clark Do NPPES

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

MR. BRYAN MICHAEL CLARK DO (NPI 1447990452) is an individual family medicine provider in Largo, Florida, licensed in Florida (OS22844) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1447990452

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. BRYAN MICHAEL CLARKCredential: DO

Location Address12020 SEMINOLE BLVDLargo, FL 33778-2805

Mailing Address12020 Seminole BlvdLargo, FL 33778-2805 · (727) 588-9572

Phone(727) 588-9572

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 29, 2022

Last NPPES UpdateAugust 27, 2025

NPPES CertifiedAugust 27, 2025

✔ NPI 1447990452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS22844

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

12020 SEMINOLE BLVD, Largo, FL 33778

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Bryan Michael Clark Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082093208

PECOS Enrollment IDI20251006002617

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33778 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 13

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

DR. RICK LEE DASO DC

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