Clark Brittain Do Pc in Bloomington - Family Medicine
Clark Brittain Do Pc - NPI 1215908827
Clark Brittain Do Pc is a Family Medicine in Bloomington, Indiana. Clark Brittain Do Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Clark Brittain Do Pc is 1215908827. The last update date is 2007-10-18.
Clark Brittain Do Pc's current location address is 642 S Walker St, Bloomington, Indiana. You can contact this provider via phone number 8123319160 and fax number 8123360277. The mailing address for Clark Brittain Do Pc is 642 S Walker St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clark Brittain Do Pc |
|---|---|
| Address | 642 S Walker St, Bloomington, Indiana |
| Phone Number | 8123319160 |
| Fax Number | 8123360277 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Brittain P. Clark |
| Credentials | DO |
| Telephone Number | 8123319160 |
NPI Number Detail
| NPI Number | 1215908827 |
|---|---|
| Provider Enumeration Date | 2006-01-31 |
| Last Updated Date | 2007-10-18 |
Provider Mailing Address Detail
| Address | 642 S Walker St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474032158 |
| Phone Number | 8123319160 |
| Fax Number | 8123360277 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 112969 | IN | ANTHEM BS | |
| CJ4778 | IN | TRAVELERS MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Clark Brittain Do Pc by the Centers for Medicare & Medicaid Services?
The Clark Brittain Do Pc has been issued the NPI (National Provider Identifier) 1215908827, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Clark Brittain Do Pc's facilities are situated?
The facilities of Clark Brittain Do Pc are physically located at the following address: 642 S Walker St, Bloomington, IN, 474032158.
What is Clark Brittain Do Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clark Brittain Do Pc is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did Clark Brittain Do Pc receive its 1215908827 assignment from the Centers for Medicare & Medicaid Services?
The Clark Brittain Do Pc was assigned its 1215908827 on 2006-01-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Clark Brittain Do Pc most recently updated or refreshed?
The details pertaining to the Clark Brittain Do Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-18.