BRYAN MICHAEL CLARKE (NPI# 1093945198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093945198 |
| Entity Type | Individual |
| Full Name | BRYAN MICHAEL CLARKE |
| Credential | IDC |
| Practice Address |
6000 W Highway 98 Pensacola FL 32512 |
| Mailing Address |
6000 W Highway 98 Pensacola FL 32512-0001 |
| Practice Telephone | 8505056601 |
| Mailing Telephone | 8505056601 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2018-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Uss John C. Stennis (cvn 74), Unit 1000175 Box 2746, Fpo, AP 966152874 | 3606272562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740844240 | Bryan Thomas Clarke | Counselor | 3125 Mchenry Ave Ste D, Modesto, CA 95350-1451 | 2019-04-30 |
| 1568759819 | Bryan David Clarke | Psychologist | 2106 Treasure Hills Blvd, C/o Mental Health, Harlingen, TX 78550-8736 | 2011-07-07 |
| Street Address |
6000 W HIGHWAY 98 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891797585 | James Bernard Mcallister | Dentist | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2005-08-11 |
| 1427655190 | Paige Miller | Physical Therapist | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2020-10-06 |
| 1861099871 | Morgan E Dossey | Student in an Organized Health Care Education/Training Program | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2020-10-02 |
| 1346865672 | Catherine Adel Cooper | Nurse Practitioner | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2020-06-12 |
| 1588290035 | Jeffrey Allen Smith | Registered Nurse | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2020-03-17 |
| 1942850409 | Alyssa Rae Doring | Nurse Practitioner | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2019-09-17 |
| 1932662806 | Megan Brownfield | Nurse Practitioner | 6000 W Highway 98, Pensacola, FL 32512-9121 | 2019-04-09 |
| 1730661984 | Michael Robert Cunningham | Pharmacist | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2018-09-04 |
| 1831687664 | Christopher Lazo Jose | Radiologic Technologist | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2018-04-26 |
| 1538666706 | Cherilyn Mai | Physical Therapist | 6000 W Highway 98, Pensacola, FL 32512-1098 | 2018-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659612240 | Andrew J Wright | Military Health Care Provider | Naval Hospital Pensacola 6000 Us-98 Hwy, Pensacola, FL 32512 | 2013-03-07 |
| 1497952071 | Harlan Walker II | Student in an Organized Health Care Education/Training Program | Nami, Pensacola Nas, FL 32512 | 2007-06-28 |
| 1821182841 | David Dean | Psychologist | Deployment Health - Naval Hospital Pensacola, 6000 West Highway 98, Pensacola, FL 32512 | 2006-10-03 |
| 1689681751 | Michael Jay Franks Jr. | Psychologist | 6000 W. Highway 98, Naval Hospital Pensacola, Pensacola, FL 32512 | 2006-08-02 |
| 1477514115 | Randolph Lee Budd | Physical Therapist | 1000 West Hwy 98, Pensacola, FL 32512 | 2006-03-31 |
| 1962473470 | Alden Mathias Brown | Physician Assistant | 6ooo Hwg 98 West, Pensacola, FL 32512 | 2006-02-01 |
| 1972574580 | Adolfo Jose Torrez Jr. | Family Medicine | 6000 Highway 98 West, Pensacola Naval Hospital Emergency Department, Pensacola, FL 32512 | 2006-01-31 |
| 1336119387 | Felix Rodriguez Tormes | Orthopaedic Surgery | Highway 98, Naval Hospital, Pensacola, FL 32512 | 2006-01-24 |
| 1689654154 | Denise Lynn Peet | Pathology | Naval Hopsital, Laboratory, 6000 West Highway 98, Pensacola, FL 32512 | 2006-01-19 |
| 1811515323 | Ryan Gov | Dentist | 6000 Us-98, Pensacola, FL 32512 | 2020-07-10 |
| Find all providers in zip 32512 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669753620 | Jon Anthony I Eustaquio | Military Health Care Provider | 1905 W Intendencia St, Pensacola, FL 32502-5155 | 2011-09-06 |
| 1679917033 | Lawrence Coronel Jimenez | Military Health Care Provider | 760 East Ave Bldg 3911, Pensacola, FL 32508 | 2013-04-28 |
| 1699072165 | Noah James Serigny | Military Health Care Provider | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2011-02-18 |
| 1477505733 | Cindy Marie Cook | Military Health Care Provider | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803725 | Alanna Gonzalez | Military Health Care Provider | 1453 Lindseys Crossing Dr, Jacksonville, FL 32218-8088 | 2020-05-25 |
| 1538793849 | Alberto Kris Cipollone | Military Health Care Provider | Bon Homme Richard Ave Bldg 2480, Jacksonville, FL 32246-0046 | 2020-02-25 |
| 1376175794 | James Ernest Claypool | Military Health Care Provider | 12411 Glenn Hollow Dr, Jacksonville, FL 32226-2349 | 2020-02-05 |
| 1831729821 | Michael O'connell | Military Health Care Provider | 8201 Bardmoor Pl Apt 203d, Seminole, FL 33777-1327 | 2020-01-19 |
| 1508404062 | Anthony Briel | Military Health Care Provider | 305 S Crag Road, Panama City, FL 32444 | 2019-12-16 |
| 1043863079 | Jenny Lee Mahoney | Military Health Care Provider | 55281 Yellow Jacket Dr, Callahan, FL 32011-8534 | 2019-07-18 |
| 1023546108 | Gregory Donald Willden | Military Health Care Provider | Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 | 2017-06-01 |
| 1992230429 | George Williams Osorio | Military Health Care Provider | 1734 Forest Lakes Cir Apt D, West Palm Beach, FL 33406-5773 | 2017-04-21 |
| 1235681545 | Huriel A Rivera Aponte | Military Health Care Provider | Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 | 2016-11-03 |
| 1619420536 | Justin Allan Willis | Military Health Care Provider | 8353 Iris Ave, Seminole, FL 33777-3643 | 2016-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.