CLARK KENNARD BRACKNEY (DPM) – Primary Podiatric Medicine Podiatrist, NPI 1699237016

CLARK KENNARD BRACKNEY (DPM) is a healthcare provider. based in Broadview heights, Ohio. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 788 (NC). The NPI Number for CLARK KENNARD BRACKNEY (DPM) is 1699237016

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
CLARK KENNARD BRACKNEY (DPM)
NPI
1699237016
Phone
(828) 719-2063
Address
909 TOLLIS PKWY
Enumeration Date
3 April 2019
Last Update Date
9 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3364439190
Graduation Year
2019 (7 years ago)
PAC ID
7517296619
Group Practice PAC ID
7012168271
Professional Enrollment ID
I20220811002746
Address ID
NC273441821SI102XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

953 PODIATRY in OH

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Provider Addresses for CLARK KENNARD BRACKNEY (DPM)

  • 909, Tollis Parkway, Broadview Heights, Cuyahoga County, Ohio, 44147, United States

    BROADVIEW HEIGHTS, OH 441471818

    Phone: (828) 719-2063

    Type: Mailing

  • 530 N ELAM AVE STE A

    GREENSBORO, NC 274031139

    Phone: (336) 299-0271

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 37 Open Payments records for all available years, with a total value of $2,918.

Total Amount is formed as General ($2,918) + Research ($0) + Ownership ($0) = $2,918.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Stryker Corporation ($2,056).

Total Amount

$2,918

General + Research + Ownership

Payments

37

Total payment records

General Amount

$2,918

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220811002746IPodiatryNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11720Removal of fingernails or toenails, 1-5 nails12759$0
G0127Trimming of dystrophic nails, any number10349$0
73630X-ray of foot, minimum of 3 views8946$0
99213Established patient office or other outpatient visit, 20-29 minutes7455$0
11056Removal of noncancer thickened skin growth, 2-4 growths6229$0
View full utilization report →

Insurance plans in this area (ZIP 44147)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012168271View full group profile
NameSpecialtyState
P O D I A T R YSC
P O D I A T R YNJ
P O D I A T R YCA
P O D I A T R YMI
P O D I A T R YPA
P O D I A T R YNC
P O D I A T R YNC
P O D I A T R YNC
P O D I A T R YNC
P O D I A T R YNC

Reviews

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Frequently asked questions

What is the registry number for CLARK KENNARD BRACKNEY (DPM)?
The registry entry for CLARK KENNARD BRACKNEY (DPM) shows NPI 1699237016.
Should I treat CLARK KENNARD BRACKNEY (DPM) as an active provider?
Patients and plans typically see CLARK KENNARD BRACKNEY (DPM) as active in the national extract.
Which specialty label fits CLARK KENNARD BRACKNEY (DPM)?
NPPES ties CLARK KENNARD BRACKNEY (DPM) to Primary Podiatric Medicine Podiatrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to CLARK KENNARD BRACKNEY (DPM)?
The directory associates CLARK KENNARD BRACKNEY (DPM) with Broadview Heights, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for CLARK KENNARD BRACKNEY (DPM)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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