Bryan B Clark
Medical Specialty
Professional ID
- NPI: 1144663030
- PECOS ID: 5890091706
- Enrollment ID: I20170616001158
- Credential(MD, DO, DPM):
- Medical School: University Of Vermont College Of Medicine
- Medical School Graduation Year: 2013
Hospital Service
- Hospital CCN1: 380018
- Business Name (LBN)1: Asante Rogue Regional Medical Center
- Hospital CCN2: 380075
- Business Name (LBN)2: Providence Medford Medical Center
Medical Practices
- Organization Name: Asante
- Group Practice ID assigned by PECOS: 0547177321
- Number of Group Practice member: 54
Location
- Address1: 2825 E Barnett Rd
- Address2:
- City: Medford
- State: Oregon
- Zip Code: 97504
- Phone Number: (541)789-7000
Medical Practices
- Organization Name: Knd Development 59 Llc
- Group Practice ID assigned by PECOS: 3678602802
- Number of Group Practice member: 196
Location
- Address1: 550 N Monterey Ave
- Address2:
- City: Ontario
- State: California
- Zip Code: 91764
- Phone Number: (909)391-0333
Medical Practices
- Organization Name: Anesthesia Associates Of Medford Pc
- Group Practice ID assigned by PECOS: 5597750323
- Number of Group Practice member: 32
Location
- Address1: 842 E Main St
- Address2:
- City: Medford
- State: Oregon
- Zip Code: 97504
- Phone Number: (541)773-7273
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):