MR. BRYAN MICHAEL CLARK DO
NPI 1447990452
Family Medicine in Largo, FL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Bryan Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Largo, FL 33778
- Reassigned Medicare billing, Florida enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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 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.
Where is Bryan Clark located?
Bryan Clark practices at 12020 Seminole Blvd, Largo, FL 33778. The listed phone number is (727) 588-9572.
What is Bryan Clark's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bryan Clark enrolled in Medicare?
Yes. Bryan Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Bryan Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Clark reassigns Medicare benefits to Suncoast Family Medical Associates (Largo, FL). The 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 Bryan Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bryan Clark was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Mr. Bryan Michael Clark, DO · NPI 1447990452
Family Medicine physician in Largo, Florida. Individual provider, active in the CMS NPPES registry since March 29, 2022.
## Identity
- **NPI:** 1447990452 (Entity type: Individual)
- **Enumerated:** March 29, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS22844 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 12020 SEMINOLE BLVD, Largo, FL 33778-2805
- **Phone:** (727) 588-9572
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Suncoast Family Medical Associates (NPI 1811981178, Largo, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1447990452) · Data from the CMS NPPES public registry.