DR. BRIDGET M. CLARK D.O.
NPI 1912264292
Psychiatry & Neurology - Child & Adolescent Psychiatry in Kansas City, MO

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
2401 GILLHAM RD, KANSAS CITY, MO 64108(816) 234-3000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 18, 2017 (2 updates tracked since 2017).

About Dr. Bridget M. Clark D.o. NPPES

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

DR. BRIDGET M. CLARK D.O. (NPI 1912264292) is an individual child & adolescent psychiatry provider in Kansas City, Missouri, licensed in Missouri (2017015132) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1912264292
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. BRIDGET M. CLARKCredential: D.O.
Location Address2401 GILLHAM RDKansas City, MO 64108-4619
Mailing Address2401 Gillham Rd., Provider EnrollmentKansas City, MO 64108-4619 · (816) 701-5200
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 11, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1912264292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses Licensed in MO · 2017015132 Licensed in KS · 05-40083
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
2401 GILLHAM RD, Kansas City, MO 64108

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

Dr. Bridget M. Clark D.o. 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 ID7618116203
PECOS Enrollment IDI20170822002007, I20170822002679
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.

Pediatrics (Pediatric Cardiology)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Nurse Practitioner (Family)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Pediatrics (Sleep Medicine)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Audiologist
2401 GILLHAM RD, HEARING AND SPEECH CLINIC
KANSAS CITY, MO 64108
Student in an Organized Health Care Education/Training Program
2401 GILLHAM RD
KANSAS CITY, MO 64108
Anesthesiologist Assistant
2401 GILLHAM RD
KANSAS CITY, MO 64108
Psychologist (Clinical)
2401 GILLHAM RD
KANSAS CITY, MO 64108
Dentist (Pediatric Dentistry)
2401 GILLHAM RD
KANSAS CITY, MO 64108

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 Bridget Clark's NPI number?

The NPI number for Bridget Clark is 1912264292. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Bridget Clark located?

Bridget Clark practices at 2401 Gillham Rd, Kansas City, MO 64108. The listed phone number is (816) 234-3000.

What is Bridget Clark's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Bridget Clark enrolled in Medicare?

Yes. Bridget 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 Bridget Clark accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Medica list Bridget 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 Bridget Clark was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.