1. Home
  2. Directory
  3. Vermont
  4. Bristol
  5. Family Medicine
  6. NPI Profile

DR. CHARLES EDWARD CLARK MD
NPI 1609912427
Family Medicine in Bristol, VT

Active since January 29, 2007
74 MUNSILL AVE, SUITE 100, BRISTOL, VT 05443(802) 453-5028(802) 453-6105 Get Directions Write a Review

NPPES record last updated: September 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles Edward Clark Md NPPES

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

DR. CHARLES EDWARD CLARK MD (NPI 1609912427) is an individual family medicine provider in Bristol, Vermont, licensed in Vermont (0420006979) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1609912427
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHARLES EDWARD CLARKCredential: MD
Location Address74 MUNSILL AVE, SUITE 100Bristol, VT 05443-1032
Mailing Address74 Munsill Ave, Suite 100Bristol, VT 05443-1032 · (802) 453-5028
Phone(802) 453-5028
Fax(802) 453-6105
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateSeptember 26, 2013
✔ NPI 1609912427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VT · 0420006979
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.
74 MUNSILL AVE, Bristol, VT 05443
Open in Google Maps ↗

Other Identifiers 3

MedicaidVT5630VT
Medicare UPIND74984
Medicare PINVT563002

Other Providers at the Same Location NPPES 4

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

JEFFREY S WULFMAN MD
Family Medicine
74 MUNSILL AVE, SUITE 100
BRISTOL, VT 05443
Addison County (802) 453-5028
ALISON L ZIMMER BS PT
Physical Therapist
74 MUNSILL AVE
LINCOLN, VT 05443
Addison County (802) 349-2166
SUZANNE GERMAIN NP
Nurse Practitioner
74 MUNSILL AVE, SUITE 100
BRISTOL, VT 05443
Addison County (802) 453-5028
SHAWN R MAY PA
Physician Assistant
74 MUNSILL AVE, SUITE 100
BRISTOL, VT 05443
Addison County (802) 453-5028

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 Charles Clark's NPI number?

The NPI number for Charles Clark is 1609912427. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Charles Clark located?

Charles Clark practices at 74 Munsill Ave Suite 100, Bristol, VT 05443. The listed phone number is (802) 453-5028.

What is Charles Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Charles Clark was last updated on September 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.