Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY WALTON CLARK, MD
ActiveBRADLEY WALTON CLARK, MD is a Nuclear Cardiology healthcare provider located in CLEMMONS, North Carolina. NPI 1639431307 is currently active in the NPPES registry. Verify at CMS.
Nuclear Cardiology · CLEMMONS, NC
Registration Details
- NPI Number
- 1639431307
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2012 (14.20288994458 yrs)
- Last Updated
- Feb 18, 2021
- Licenses
-
2015-00428 (NC)LL34733 (SC)2015-00428 (NC)2015-00428 (NC)
Practice Information
- Address
-
7114 VILLAGE MEDICAL CIRCLEMMONS, NC, 270128004Browse NC providers · Browse ZIP 27012
- Phone
- 3368932440
- Fax
- 3368932470
- Primary Specialty
-
Nuclear Cardiology
207UN0901X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Nuclear Cardiology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.