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BRETT COLBY CLARK MD
NPI 1740034990
Student in an Organized Health Care Education/Training Program in Englewood, CO

Active since April 15, 2024PECOS Enrolled
601 E HAMPDEN AVE STE 470, ENGLEWOOD, CO 80113(303) 788-3100(303) 788-3199 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2026, Apr 15, 2024 (2 updates tracked since 2024).

About Brett Colby Clark Md NPPES

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

BRETT COLBY CLARK MD (NPI 1740034990) is an individual student in an organized health care education/training program in Englewood, Colorado and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740034990
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRETT COLBY CLARKCredential: MD
Location Address601 E HAMPDEN AVE STE 470Englewood, CO 80113-2797
Mailing Address601 E Hampden Ave Ste 470Englewood, CO 80113-2797 · (303) 788-3150 · Fax (303) 788-3199
Phone(303) 788-3100
Fax(303) 788-3199
Sole ProprietorYes
Enumeration DateApril 15, 2024
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1740034990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
601 E HAMPDEN AVE STE 470, Englewood, CO 80113
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brett Colby Clark 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 20

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

JAELYN GABEL DO
Student in an Organized Health Care Education/Training Program
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-3150
BRIAN ALBERT BOWER DO
Student in an Organized Health Care Education/Training Program
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-3150
BRISSA MUNDO-SANTACRUZ MD
Student in an Organized Health Care Education/Training Program
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-3150
KENYON JOSEPH WEIDLE M.D.
Family Medicine
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-3100
CLAIRE ELIZABETH MOEN DO
Student in an Organized Health Care Education/Training Program
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-3100
JOHN MOORE
Student in an Organized Health Care Education/Training Program
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-3150
DONG HEE CHANG DO
Student in an Organized Health Care Education/Training Program
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-3100
NINA BALL MD
Family Medicine
601 E HAMPDEN AVE STE 470
ENGLEWOOD, CO 80113
Arapahoe County (303) 788-3100

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 Brett Clark's NPI number?

The NPI number for Brett Clark is 1740034990. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Brett Clark located?

Brett Clark practices at 601 E Hampden Ave Ste 470, Englewood, CO 80113. The listed phone number is (303) 788-3100.

What is Brett Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brett Clark enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brett Clark was last updated on June 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.