BRADLEY WALTON CLARK MD
NPI 1639431307
Nuclear Medicine - Nuclear Cardiology in Clemmons, NC

Active since June 08, 2012PECOS EnrolledAccepts Medicare Assignment
7114 VILLAGE MEDICAL CIR, CLEMMONS, NC 27012(336) 893-2440(336) 893-2470 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 18, 2021, Oct 25, 2020, Apr 30, 2019 and 2 more (5 updates tracked since 2018).

About Bradley Walton Clark Md NPPES

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

BRADLEY WALTON CLARK MD (NPI 1639431307) is an individual nuclear cardiology provider in Clemmons, North Carolina, licensed in North Carolina (2015-00428) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Northern Regional Hospital, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1639431307
Entity TypeIndividualMale
Primary Taxonomy207UN0901X
Provider Legal NameBRADLEY WALTON CLARKCredential: MD
Location Address7114 VILLAGE MEDICAL CIRClemmons, NC 27012-8004
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 277-2000 · Fax (336) 277-2050
Fax(336) 893-2470
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2012
Enumeration DateJune 8, 2012
Last NPPES UpdateFebruary 18, 20215 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
NPI 1639431307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNuclear Medicine · Nuclear CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207UN0901X
License Licensed in NC · 2015-00428
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2015-00428 (NC), LL34733 (SC)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 2015-00428 (NC)
7114 VILLAGE MEDICAL CIR, Clemmons, NC 27012

Secondary Practice Location 1

Location 1186 Kimel Park DrWinston Salem, NC 27103 · Phone (336) 277-2000 · Fax (336) 277-2050

Accepted Insurance

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

Bradley Walton Clark Md 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 ID9335361302
PECOS Enrollment IDI20160208001278
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.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
409 services342 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
314 services249 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
288 services200 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
211 services195 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
165 services161 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
152 services151 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Regional Hospital

Acute Care Hospitals · Mount Airy, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340003
Location830 Rockford StMount Airy, NC 27030 · Surry County
Emergency services Birthing friendly

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Novant Health Thomasville Medical Center

Acute Care Hospitals · Thomasville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340085
Location207 Old Lexington Rd Box 789Thomasville, NC 27360 · Davidson County
Emergency services Birthing friendly

Ashe Memorial Hospital

Critical Access Hospitals · Jefferson, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number341325
Location200 Hospital AveJefferson, NC 28640 · Ashe County
Emergency services

Twin County Regional Hospital

Acute Care Hospitals · Galax, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490115
Location200 Hospital DriveGalax, VA 24333 · Galax City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27012 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Internal Medicine (Cardiovascular Disease)
7114 VILLAGE MEDICAL CIR
CLEMMONS, NC 27012
Internal Medicine (Cardiovascular Disease)
7114 VILLAGE MEDICAL CIR
CLEMMONS, NC 27012
Physician Assistant
7114 VILLAGE MEDICAL CIR
CLEMMONS, NC 27012
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
7114 VILLAGE MEDICAL CIR
CLEMMONS, NC 27012

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 Bradley Clark's NPI number?

The NPI number for Bradley Clark is 1639431307. It was assigned to this individual provider in the NPPES registry on June 8, 2012.

Where is Bradley Clark located?

Bradley Clark practices at 7114 Village Medical Cir, Clemmons, NC 27012. The listed phone number is (336) 893-2440.

What is Bradley Clark's specialty?

The primary specialty registered for this NPI is Nuclear Medicine, specializing in Nuclear Cardiology, with taxonomy code 207UN0901X.

Is Bradley Clark enrolled in Medicare?

Yes. Bradley 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.

What insurance does Bradley Clark accept?

Health plans from Blue Cross and Blue Shield of NC list Bradley Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bradley Clark affiliated with any hospitals?

According to CMS data, Bradley Clark is affiliated with Northern Regional Hospital, Novant Health Forsyth Medical Center, Novant Health Thomasville Medical Center, Ashe Memorial Hospital and Twin County Regional Hospital.

When was this NPI record last updated?

The NPPES record for Bradley Clark was last updated on February 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.