BRIAN CLARK
NPI 1497627277
Nurse Anesthetist, Certified Registered in Camden, NJ
About Brian Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIAN CLARK (NPI 1497627277) is an individual nurse anesthetist, certified registered in Camden, New Jersey, licensed in New Jersey (26NR18676500) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and is a graduate of Other (2025).
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 (PECOS)
Brian Clark is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Brian Clark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Camden, NJ 08103
- Reassigned Medicare billing, New Jersey enrollment
- 164 clinicians in this Medicare group
Sewell, NJ 08080
- Reassigned Medicare billing, New Jersey enrollment
- 182 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cooper University Hospital
Acute Care Hospitals · Camden, NJJefferson Stratford Hospital
Acute Care Hospitals · Stratford, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08103 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 20
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 Brian Clark's NPI number?
The NPI number for Brian Clark is 1497627277. It was assigned to this individual provider in the NPPES registry on September 22, 2025.
Where is Brian Clark located?
Brian Clark practices at 1 Cooper Plz, Camden, NJ 08103. The listed phone number is (856) 342-2000.
What is Brian Clark's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Brian Clark enrolled in Medicare?
Yes. Brian Clark is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Brian Clark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brian Clark reassigns Medicare benefits to 2 organizations: Chc Pain Management Center, PA (Camden, NJ) and Methodist Associates In Healthcare Of New Jersey, P.C. (Sewell, NJ). Each 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 Brian Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Brian Clark affiliated with any hospitals?
According to CMS data, Brian Clark is affiliated with Cooper University Hospital and Jefferson Stratford Hospital.
When was this NPI record last updated?
The NPPES record for Brian Clark was last updated on September 22, 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.
# Brian Clark · NPI 1497627277
Nurse Anesthetist, Certified Registered physician in Camden, New Jersey. Individual provider, active in the CMS NPPES registry since September 22, 2025.
## Identity
- **NPI:** 1497627277 (Entity type: Individual)
- **Enumerated:** September 22, 2025
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 26NR18676500 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 COOPER PLZ, Camden, NJ 08103-1461
- **Phone:** (856) 342-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Chc Pain Management Center, PA (NPI 1538109913, Camden, NJ); Methodist Associates In Healthcare Of New Jersey, P.C. (NPI 1568078095, Sewell, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497627277) · Data from the CMS NPPES public registry.