BRANDON CLARK NP
NPI 1528522083
Nurse Practitioner - Acute Care in Indianapolis, IN

Active since January 29, 2019
1481 W 10TH ST, INDIANAPOLIS, IN 46202(317) 554-0000 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 25, 2019, Jan 29, 2019 (2 updates tracked since 2019).

About Brandon Clark Np NPPES

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

BRANDON CLARK NP (NPI 1528522083) is an individual acute care provider in Indianapolis, Indiana, licensed in Indiana (28167374A) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1528522083
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameBRANDON CLARKCredential: NP
Location Address1481 W 10TH STIndianapolis, IN 46202-2803
Mailing Address1481 W 10th StIndianapolis, IN 46202-2803
Sole ProprietorNo
Enumeration DateJanuary 29, 2019
Last NPPES UpdateFebruary 25, 20192 updates tracked since enumeration
NPI 1528522083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in IN · 28167374A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28167374A (IN)
1481 W 10TH ST, Indianapolis, IN 46202

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.

Internal Medicine (Cardiovascular Disease)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Audiologist
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Dietitian, Registered
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Social Worker (Clinical)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Recreation Therapist
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Registered Nurse
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Registered Nurse (Ambulatory Care)
1481 W 10TH ST
INDIANAPOLIS, IN 46202

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 Brandon Clark's NPI number?

The NPI number for Brandon Clark is 1528522083. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Brandon Clark located?

Brandon Clark practices at 1481 W 10th St, Indianapolis, IN 46202. The listed phone number is (317) 554-0000.

What is Brandon Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Brandon Clark was last updated on February 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.