Individual provider · Type 1 NPI
Bradley Walton Clark, MD
Nuclear Cardiology Physician · Clemmons, NC
NPI number
1639431307
Active
Practice location
7114 Village Medical Cir
Clemmons, NC 27012-8004
Fax (336) 893-2470
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Other practice locations
- 186 Kimel Park Dr, Winston Salem, NC 27103 · (336) 277-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 2015-00428 (NC) |
| Internal Medicine Physician | 207R00000X | LL34733 (SC) |
| Cardiovascular Disease Physician | 207RC0000X | 2015-00428 (NC) |
| Nuclear Cardiology Physician Primary | 207UN0901X | 2015-00428 (NC) |
Nuclear Cardiology Physician: A nuclear medicine physician who specializes in nuclear cardiology.
4 other providers at this address
- Forsyth Memorial Hospital, IncCardiovascular Disease Physician Clemmons, NC NPI 1710382411
- Bobby Dwayne Poplin, PharmD, CPPPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Clemmons, NC NPI 1942028980
- Camilla Elizabeth Helton, PAPhysician Assistant Clemmons, NC NPI 1922070747
- Un Ju KimCardiovascular Disease Physician Clemmons, NC NPI 1447543632
About NPI 1639431307
Bradley Walton Clark, MD's National Provider Identifier is 1639431307, issued on Jun 8, 2012. The primary taxonomy on file is Nuclear Cardiology Physician (207UN0901X), and the practice location is in Clemmons, NC. The record was last updated on Feb 18, 2021.