Gary Clark, CRNA
NPI 1063493468 · Registered Nurse · Bridgeton, MO
Gary Clark, CRNA is a Registered Nurse provider in Bridgeton, MO (NPI 1063493468).
Provider details
- NPI number
- 1063493468
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- CRNA
- Sex
- Male
- License
- RN057425 (MO)
Specialties & taxonomies
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-11
- Last updated
- 2025-09-11
Frequently asked questions
- What is Gary Clark's NPI number?
- Gary Clark's National Provider Identifier (NPI) is 1063493468, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Clark's specialty?
- Gary Clark is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Gary Clark located?
- Gary Clark's practice location on file with NPPES is 12303 Depaul Drive, Bridgeton, MO 63044.
- What is Gary Clark's phone number?
- The practice phone number listed in the NPPES registry for Gary Clark is (314) 344-7049.
- Is Gary Clark's NPI active?
- Yes — Gary Clark's NPI (1063493468) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.