IndividualActive
Bradley Clark, MD
NPI 1639431307 · Nuclear Cardiology Physician · Clemmons, NC
Provider details
- NPI number
- 1639431307
- Entity type
- Individual
- Primary specialty
- Nuclear Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2015-00428 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
7114 Village Medical Cir
Clemmons, NC 27012-8004
Phone: (336) 893-2440
Fax: (336) 893-2470
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 751803
Charlotte, NC 28275-1803
Additional practice locations (1)
- 186 Kimel Park DrWinston Salem, NC 27103Phone: (336) 277-2000Fax: (336) 277-2050
Registry dates
- Enumerated
- 2012-06-08
- Last updated
- 2021-02-18
- Certified
- 2021-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.