Bradley Clark, DDS

ActiveIndividual ProviderDentistry
NPI issued: February 22, 2007

Quick Facts

NPI Number
1114052966
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(308) 872-2575
StateNE

NPI Validation Status: Verified

Valid 10-digit NPI number (1114052966)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (February 22, 2007)
Data source: CMS NPPES

Provider Overview

BRADLEY CLARK, DDS is a Dentistry provider based in Broken Bow, NE who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1114052966
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateFebruary 22, 2007

Practice Location

CityBroken Bow
StateNE
ZIP Code68822-2014
Phone(308) 872-2575

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateNE

Mailing Address

CityBroken Bow
StateNE
ZIP Code68822-2014
Phone(308) 872-2575
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1114052966 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1114052966for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1114052966 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
174,905
Dentistry Providers in the US

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People Also Ask

What is Bradley Clark's NPI number?
Bradley Clark's NPI number is 1114052966, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Bradley Clark's NPI currently active?
Yes, Bradley Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Bradley Clark specialize in?
Bradley Clark specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Bradley Clark practice?
Bradley Clark practices in Broken Bow, NE 68822-2014.
When was Bradley Clark's NPI issued?
Bradley Clark's NPI was issued on February 22, 2007.
What is Bradley Clark's provider type?
Bradley Clark is registered as an Individual Provider under CMS NPI Type 1.