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DR. DAVID CHARLES CLARK JR. MD
NPI 1720079767
Radiology - Neuroradiology in Greensboro, NC

Active since October 31, 2005PECOS Enrolled
1331 NORTH ELM STREET, SUITE 200, GREENSBORO, NC 27401(336) 274-9614(336) 482-2177 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Charles Clark Jr. Md NPPES

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

DR. DAVID CHARLES CLARK JR. MD (NPI 1720079767) is an individual neuroradiology provider in Greensboro, North Carolina, licensed in North Carolina (39405) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720079767
Entity TypeIndividualMale
Primary Taxonomy2085N0700X
Provider Legal NameDR. DAVID CHARLES CLARK JR.Credential: MD
Location Address1331 NORTH ELM STREET, SUITE 200Greensboro, NC 27401-6304
Mailing AddressPo Box 63112Charlotte, NC 28263-3112 · (336) 274-9617 · Fax (336) 482-2177
Phone(336) 274-9614
Fax(336) 482-2177
Sole ProprietorYes
Enumeration DateOctober 31, 2005
Last NPPES UpdateMarch 10, 2023
NPPES CertifiedMarch 10, 2023
✔ NPI 1720079767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
License✔ Licensed in NC · 39405
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 39405 (NC)
1331 NORTH ELM STREET, Greensboro, NC 27401
Open in Google Maps ↗

Other Identifiers 7

Other18290NC · Partners
Other1600796NC · United Healthcare
Medicaid8922555NC
Other22555NC · Blue Cross Blue Shield
Other70507NC · Medcost
Other300050409NC · Railroad Medicare
Other1720079767VA · Virginia Medicaid

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Charles Clark Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 6

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

DR. PAUL DOUGLAS BARRY MD
Radiology (Diagnostic Radiology)
1331 NORTH ELM STREET, SUITE 200
GREENSBORO, NC 27401
Guilford County (336) 274-9617
DR. SANJEEV KUMAR DEVESHWAR MD
Radiology (Vascular & Interventional Radiology)
1331 NORTH ELM STREET, SUITE 200
GREENSBORO, NC 27401
Guilford County (336) 274-9617
DR. MARK ALAN BOLES M.D.
Radiology (Diagnostic Radiology)
1331 NORTH ELM STREET, SUITE 200
GREENSBORO, NC 27401
Guilford County (336) 274-9617
DR. JOHN TAYLOR CURNES MD
Radiology (Diagnostic Radiology)
1331 NORTH ELM STREET, SUITE 200
GREENSBORO, NC 27401
Guilford County (336) 274-9617
KEVIN F BRUNING P.A
Physician Assistant
1331 NORTH ELM STREET, SUITE 200
GREENSBORO, NC 27401
Guilford County (336) 274-9617
DR. ELIZABETH ANNE EAGLE MD
Radiology (Diagnostic Radiology)
1331 NORTH ELM STREET, SUITE 200
GREENSBORO, NC 27401
Guilford County (336) 274-9617

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 David Clark's NPI number?

The NPI number for David Clark is 1720079767. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is David Clark located?

David Clark practices at 1331 North Elm Street Suite 200, Greensboro, NC 27401. The listed phone number is (336) 274-9614.

What is David Clark's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Is David Clark enrolled in Medicare?

Yes. David Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Clark was last updated on March 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.