BRADLEY J CLARK DO
NPI 1649532466
Pediatrics in West Point, UT

Active since June 08, 2012PECOS EnrolledAccepts Medicare Assignment
145 S 3000 W, WEST POINT, UT 84015(801) 475-3960(801) 475-3961 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2017, Mar 4, 2016 (2 updates tracked since 2016).

About Bradley J Clark Do NPPES

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

BRADLEY J CLARK DO (NPI 1649532466) is an individual pediatrics provider in West Point, Utah, licensed in Utah (9399538-1204) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1649532466
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBRADLEY J CLARKCredential: DO
Location Address145 S 3000 WWest Point, UT 84015
Mailing AddressPo Box 5546Denver, CO 80217-5546 · (801) 475-3500 · Fax (801) 475-3494
Fax(801) 475-3961
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 8, 2012
Last NPPES UpdateMarch 11, 20242 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
NPI 1649532466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in UT · 9399538-1204
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
145 S 3000 W, West Point, UT 84015

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 J 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.

PECOS PAC ID9931332368
PECOS Enrollment IDI20150821014319
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84015 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 3

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

Pharmacy (Community/Retail Pharmacy)
145 S 3000 W
WEST POINT, UT 84015
Family Medicine
145 S 3000 W
WEST POINT, UT 84015
Nurse Practitioner
145 S 3000 W
WEST POINT, UT 84015

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 1649532466. It was assigned to this individual provider in the NPPES registry on June 8, 2012.

Where is Bradley Clark located?

Bradley Clark practices at 145 S 3000 W, West Point, UT 84015. The listed phone number is (801) 475-3960.

What is Bradley Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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 BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans 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.

When was this NPI record last updated?

The NPPES record for Bradley Clark was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.