Bradley Walton Clark, MD - Medicare Cardiovascular Disease (cardiology) in Clemmons, NC

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Bradley Walton Clark, MD is a medicare enrolled "Nuclear Medicine - Nuclear Cardiology" physician in Clemmons, North Carolina. He went to University Of South Carolina School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Novant Medical Group Inc, Forsyth Memorial Hospital Inc and his current practice location is 7114 Village Medical Cir, Clemmons, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 893-2440.

Bradley Walton Clark is licensed to practice in North Carolina (license number 2015-00428) 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 1639431307.

Contact Information

Bradley Walton Clark, MD
7114 Village Medical Cir,
Clemmons, NC 27012-8004
(336) 893-2440
(336) 893-2470

Map and Direction




Physician's Profile

Full NameBradley Walton Clark
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience12 Years
Location7114 Village Medical Cir, Clemmons, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bradley Walton Clark attended and graduated from University Of South Carolina School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1639431307
  • Provider Enumeration Date: 06/08/2012
  • Last Update Date: 02/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9335361302
  • Enrollment ID: I20160208001278

Medical Identifiers

Medical identifiers for Bradley Walton Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639431307NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2015-00428 (North Carolina)Secondary
207R00000XInternal Medicine LL34733 (South Carolina)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 2015-00428 (North Carolina)Secondary
207UN0901XNuclear Medicine - Nuclear Cardiology 2015-00428 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Forsyth Medical CenterWinston-salem, NCHospital
Northern Regional HospitalMount airy, NCHospital
Novant Health Thomasville Medical CenterThomasville, NCHospital
Ashe Memorial HospitalJefferson, NCHospital
North Carolina Baptist HospitalWinston-salem, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novant Medical Group Inc11532348931996
Forsyth Memorial Hospital Inc9537071790531

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 Walton Clark allows following entities to bill medicare on his behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameNovant Health Thomasville Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033160205
PECOS PAC ID: 5890605224
Enrollment ID: O20031222000916
Entity NameMedical Park Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003867516
PECOS PAC ID: 4880595958
Enrollment ID: O20040120000968
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306950282
PECOS PAC ID: 1153234893
Enrollment ID: O20040204001028
Entity NameThe Presbyterian Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053365817
PECOS PAC ID: 1153231907
Enrollment ID: O20040223001121
Entity NameForsyth Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702
Entity NameNovant Health Mint Hill Medical Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063910404
PECOS PAC ID: 8123374394
Enrollment ID: O20181018000540
Entity NameNovant Health Ballantyne Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760190607
PECOS PAC ID: 4880065143
Enrollment ID: O20230518003163

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 Walton 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 AddressPractice Location Address
Bradley Walton Clark, MD
Po Box 751803,
Charlotte, NC 28275-1803

Ph: (336) 277-2000		Bradley Walton Clark, MD
7114 Village Medical Cir,
Clemmons, NC 27012-8004

Ph: (336) 893-2440

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.