ROBERT BRENT CLARK (MD) – Family Medicine Physician, NPI 1689692071

Family Medicine Physician

ROBERT BRENT CLARK (MD) is a healthcare provider. based in Payson, Utah. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 165559-1205 (UT). The NPI Number for ROBERT BRENT CLARK (MD) is 1689692071

Main info

Male

47 Years Of Experience

Accepts Medicare Assignment

Name

ROBERT BRENT CLARK (MD)

NPI

1689692071

Phone

(801) 465-4896

Address

97 S. PROFESSIONAL WAY

Enumeration Date

17 July 2006

Last Update Date

27 November 2023

Doctor Profile

Medical School Name

UNIVERSITY OF UTAH SCHOOL OF MEDICINE

Secondary Phone

8014654896

Graduation Year

1979 (47 years ago)

PAC ID

7810087020

Group Practice PAC ID

7517868508

Professional Enrollment ID

I20100616000684

Contacts

Secure Messaging

medreview@reverehealth.com

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness85

Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for ROBERT BRENT CLARK (MD)

97 S. PROFESSIONAL WAY
PAYSON, UT 84651
Phone: (801) 465-4896
Fax: (801) 465-4107
Type: Location
Revere Health, 1055, North 500 West, North Park, Provo, Utah County, Utah, 84604, United States
ATTN: CREDENTIALING
PROVO, UT 846043305
Phone: (801) 354-8225
Fax: (801) 418-0941
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84651)

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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: 7517868508View full group profile

Name	Specialty	State
WALSTIR H FONSECA (MD)	-	UT
ABRAHAM R TOMCO (M.D.)	-	UT
MR. STEPHEN JASON TOMLINSON (PT)	Physical Therapist In Private Practice	UT
EVAN SCOTT NIELSEN (MD)	Orthopedic Surgery	UT
ROBIN RAE HORTON (NP)	Nurse Practitioner	OR
EMILY ELIZABETH ROBBINS (APRN)	-	FL
MARK C SANDERSON (MD)	-	UT
ROSANNE JOHNSON OLIVER (FNP)	-	UT
MEAGAN RUTH DEMERS HARDY (NP)	Nurse Practitioner	UT
DR. JIM D CROWLEY (M.D.)	-	UT