| Dr Bradley Layton Clark, MD | |
|
510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110-1016 | |
| (314) 362-7200 | |
| (314) 747-4189 |
| Full Name | Dr Bradley Layton Clark |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 9 Years |
| Location | 510 S Kingshighway Blvd, Saint Louis, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144683863 | NPI | - | NPPES |
| 200062955 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 21412 (Nevada) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2018012090 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Black Hills Surgical Hospital Llp | Rapid city, SD | Hospital |
| South Lyon Medical Center | Yerington, NV | Hospital |
| Mount Grant General Hospital | Hawthorne, NV | Hospital |
| Battle Mountain General Hospital | Batte mtn, NV | Hospital |
| Northern Inyo Hospital | Bishop, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tahoe Carson Radiology Loos Et Al Ltd | 6406832591 | 12 |
| Tahoe Carson Radiology Loos Et Al Ltd | 6406832591 | 12 |
| Northern Inyo Healthcare District | 8921992090 | 83 |
| Entity Name | Radiology Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811084320 PECOS PAC ID: 7012991359 Enrollment ID: O20040615001099 |
| Entity Name | Tahoe Carson Radiology Loos Et Al Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902838352 PECOS PAC ID: 6406832591 Enrollment ID: O20040629000218 |
| Entity Name | Golding Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588943328 PECOS PAC ID: 1254505126 Enrollment ID: O20111111000340 |
| Entity Name | High Desert Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134589716 PECOS PAC ID: 2769781244 Enrollment ID: O20160504002551 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20180824000170 |
| Entity Name | Simonmed Reno Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306576145 PECOS PAC ID: 5991140360 Enrollment ID: O20240226003302 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley Layton Clark, MD 660 S Euclid Ave, Cb 8131, Saint Louis, MO 63110-1010 Ph: (314) 362-7200 | Dr Bradley Layton Clark, MD 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110-1016 Ph: (314) 362-7200 |
Dr. Hilton I Price, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11133 Dunn Rd, Dept Radiology, Saint Louis, MO 63136 Phone: 314-362-7200 Fax: 314-747-4189 | |
Benjamin Lee, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 510 S Kingshighway Blvd, Saint Louis, MO 63110 Phone: 314-362-7092 | |
Dr. Kyle Anthony O'blanc, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 High Oak Rd, Saint Louis, MO 63131 Phone: 504-710-8234 | |
Dr. Michael D. Bazzani, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 10010 Kennerly Rd, Saint Louis, MO 63128 Phone: 314-525-1165 Fax: 314-525-1485 | |
Dr. Mahad Anwaar Minhas, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189 | |
Dr. Chelsea Renee Schmitt, MD Radiology Medicare: Medicare Enrolled Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189 | |
Dr. Ziad Walid Tarcha, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 510 S Kingshighway Blvd, Dept Radiology, Saint Louis, MO 63110 Phone: 314-362-7200 Fax: 314-747-4189 |