Bradley J Clark, DO is a medicare enrolled "Pediatrics" physician in West Point, Utah. He graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Ogden Clinic Pc and his current practice location is
145 S 3000 W, West Point, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 475-3960.
Bradley J Clark is licensed to practice in Utah (license number 9399538-1204) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649532466.
Physician's Profile
| Full Name | Bradley J Clark |
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| Gender | Male |
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| Speciality | Pediatric Medicine |
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| Experience | 14 Years |
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| Location | 145 S 3000 W, West Point, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bradley J Clark graduated from medical school in 2012
NPI Data:
- NPI Number: 1649532466
- Provider Enumeration Date: 06/08/2012
- Last Update Date: 03/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931332368
- Enrollment ID: I20150821014319
Medical Identifiers
Medical identifiers for Bradley J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649532466 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 9399538-1204 (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ogden Clinic Pc | 9638078033 | 105 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bradley J Clark allows following entities to bill medicare on his behalf.
| Entity Name | Ogden Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578550083
PECOS PAC ID: 9638078033
Enrollment ID: O20040105000780 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley J Clark is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Bradley J Clark, DO
Po Box 5546,
Denver, CO 80217-5546
Ph: (801) 475-3500 | Bradley J Clark, DO
145 S 3000 W,
West Point, UT 84015
Ph: (801) 475-3960 |
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