BRADLEY CLARK DO
NPI 1740085844
Student in an Organized Health Care Education/Training Program in Temple, TX

Q: What is Bradley Clark's NPI number?

The NPI number for Bradley Clark is 1740085844. It was assigned to this individual provider in the NPPES registry on February 14, 2025.

Q: What is Bradley Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bradley Clark was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since February 14, 2025PECOS Enrolled

2401 S 31ST ST, TEMPLE, TX 76508(801) 623-8335 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Mar 24, 2025, Feb 14, 2025 (2 updates tracked since 2025).

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About Bradley Clark Do NPPES

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

BRADLEY CLARK DO (NPI 1740085844) is an individual student in an organized health care education/training program in Temple, Texas and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740085844

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRADLEY CLARKCredential: DO

Location Address2401 S 31ST STTemple, TX 76508-9418

Mailing Address2401 S 31st StTemple, TX 76508-0001 · (801) 623-8335

Phone(801) 623-8335

Sole ProprietorNo

Enumeration DateFebruary 14, 2025

Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration

NPPES CertifiedMarch 24, 2025

✔ NPI 1740085844 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.

2401 S 31ST ST, Temple, TX 76508

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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)

Bradley Clark Do 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.

DR. TIFFANY JONES BERRY MD

Family Medicine