DR. MICHAEL BRADY CLARK (NPI# 1700183993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700183993 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BRADY CLARK |
| Credential | M.D. |
| Practice Address |
1400 Mckean Rd Spring House PA 19477 |
| Mailing Address |
1400 Mckean Rd Po Box 776 Spring House PA 19477 |
| Practice Telephone | 2157937131 |
| Mailing Telephone | 2157937131 |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2012-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
055114 | GA | Allopathic & Osteopathic Physicians |
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
0101056149 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534227 | Michael Clark | Contractor | 1107 Lavender Shade Court, Houston, TX 77073 | 2020-10-02 |
| 1558858464 | Michael Clark | Optometrist | 990 Medical Dr Ste G3, Brigham City, UT 84302 | 2018-04-16 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1942715255 | Michael Clark | Physical Medicine & Rehabilitation | 10600 Riverside Drive, Coral Springs, FL 33071-3307 | 2017-12-08 |
| 1386170348 | Michael Clark | Registered Nurse | 317 E 100 N, Price, UT 84501-2504 | 2017-05-11 |
| 1184163982 | Michael Clark | Specialist/Technologist | 19 Second Ave, Auburn, NY 13021-5113 | 2017-02-14 |
| 1356780837 | Michael Clark | Adult Companion | 8305 Concord Dr, Rowlett, TX 75089-2001 | 2013-06-18 |
| 1417394503 | Michael Ray Clark | Pharmacist | 2661 Valleydale Rd, Hoover, AL 35244-2026 | 2013-05-29 |
| 1407143381 | Michael Jeffery Clark | Orthopaedic Surgery | 5671 Peachtree Dunwoody Ste 700, Atlanta, GA 30342-5047 | 2011-06-29 |
| 1457663023 | Michael Ahart Clark | Massage Therapist | 2010 Mount Zion Rd, C, Morrow, GA 30260-3314 | 2010-07-11 |
| Street Address |
1400 MCKEAN RD |
| City | SPRING HOUSE |
| State | PA |
| Zip Code | 19477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743857 | Gurkirt Singh | Dentist | 833 N Bethlehem Pike, Spring House, PA 19477 | 2020-09-01 |
| 1578094751 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 901 Sumneytown Pike, Spring House, PA 19477 | 2017-03-21 |
| 1841441532 | Mark Pieninck | Occupational Therapist | 712 Penllyn Pike, Spring House, PA 19477 | 2008-10-01 |
| 1043483712 | Fredericka C Tate | Psychiatry & Neurology | 1018 North Bethlehem Pike Suite 200b, Springhouse, PA 19477 | 2008-04-02 |
| 1548443849 | Flo Glynn Stiffler | Marriage & Family Therapist | 921 Bethlehem Pike, Council for Relationships, Springhouse, PA 19477 | 2007-12-10 |
| 1851500185 | Jayson M Dupre | Internal Medicine | 1108 North Bethlehem Pike, Second Floor, Spring House, PA 19477 | 2007-05-22 |
| 1205041324 | John L. Manni | Psychologist | 809 Bethlehem Pike, Box 129, Spring House, PA 19477 | 2007-05-11 |
| 1295948271 | Dana Harbison | Acupuncturist | 1000 N Bethlehem Pike Suite 117, Spring House, PA 19477 | 2007-05-07 |
| 1548472368 | Norman Graulich, Dmd, PC | Dentist | 1024 Bethlehem Pike, Suite 101, Spring House, PA 19477 | 2007-05-04 |
| 1487776720 | Silver Stream Ctr | Skilled Nursing Facility | 905 Pennlyn Pike, Spring House, PA 19477 | 2007-04-06 |
| Find all providers in zip 19477 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497890354 | John M Wing | Preventive Medicine | Eaats-m, Care of Dmva, Annville, PA 17003-5004 | 2007-02-20 |
| 1306980099 | Roger F Landry | Preventive Medicine | 120 Upper Demunds Rd, Dallas, PA 18612-8811 | 2007-02-16 |
| 1033261243 | James M. Sheehy | Preventive Medicine | 17 Nuangola Ave, Mountain Top, PA 18707-9123 | 2007-01-17 |
| 1023094943 | Christopher M. Bloomer | Preventive Medicine | 629-d Lowther Road, Lewisberry, PA 17339-9527 | 2005-12-22 |
| 1982699195 | Russel S Miller Jr. | Preventive Medicine | 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2005-09-14 |
| City | SPRING HOUSE |
| Zip Code | 19477 |
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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.