IndividualActive
Clark Brackney, DPM
NPI 1699237016 · Primary Podiatric Medicine Podiatrist · Greensboro, NC
Provider details
- NPI number
- 1699237016
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 788 (NC)
Practice location
530 N Elam Ave Ste a
Greensboro, NC 27403-1139
Phone: (336) 299-0271
Mailing address
530 N Elam Ave Ste a
Greensboro, NC 27403-1139
Registry dates
- Enumerated
- 2019-04-03
- Last updated
- 2022-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.