DR. BRYAN D. CLARK (D.O.) – Emergency Medicine Physician, NPI 1194742643

DR. BRYAN D. CLARK (D.O.) is a healthcare provider. based in Pulaski, Virginia. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 0102201448 (VA). The NPI Number for DR. BRYAN D. CLARK (D.O.) is 1194742643

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRYAN D. CLARK (D.O.)
NPI
1194742643
Phone
(540) 994-8100
Address
2400 LEE HWY N
Enumeration Date
17 July 2006
Last Update Date
3 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5408626011
Graduation Year
2001 (25 years ago)
PAC ID
0648258129
Group Practice PAC ID
1355698317
Professional Enrollment ID
I20040712000090
Address ID
VA244570000LO1XXXXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,497 EMERGENCY MEDICINE in VA

Loading map...

Provider Addresses for DR. BRYAN D. CLARK (D.O.)

  • LewisGale Hospital Pulaski, 2400, Lee Highway, Pulaski, Pulaski County, Virginia, 24301, United States

    PULASKI, VA 243012326

    Phone: (540) 994-8100

    Fax: (804) 379-7506

    Type: Location

  • 2250, Castlebridge Road, Salisbury, Winterfield, Midlothian, Chesterfield County, Virginia, 23113, United States

    MIDLOTHIAN, VA 231134009

    Phone: (804) 513-7550

    Fax: (804) 379-7506

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-07-12

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
I20040712000090IEmergency MedicineVATBD

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
99285Emergency department visit with high level of medical decision making126114$0
99284Emergency department visit with moderate level of medical decision making123112$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7367$0
99291Critical care, first 30-74 minutes3634$0
View full utilization report →

Insurance plans in this area (ZIP 24301)

Loading plans...

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: 1355698317View full group profile
NameSpecialtyState
Internal MedicineVA
Family Practice, General Practice, Hospitalist, Emergency MedicineWV
-FL
Physician AssistantGA
H O S P I T A L I S TMO
-VA
Emergency Medicine, Internal MedicineVA
Emergency MedicineSC
Nurse PractitionerVA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify DR. BRYAN D. CLARK (D.O.) for billing?
Administrative and clinical systems typically use NPI 1194742643 for DR. BRYAN D. CLARK (D.O.).
Does the public listing show DR. BRYAN D. CLARK (D.O.) as active?
DR. BRYAN D. CLARK (D.O.)'s NPI record reflects an active status in NPPES.
What type of care does DR. BRYAN D. CLARK (D.O.) provide?
DR. BRYAN D. CLARK (D.O.)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. BRYAN D. CLARK (D.O.)?
The directory associates DR. BRYAN D. CLARK (D.O.) with Pulaski, Virginia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

PAUL V OFFERMANN (M.D.)

Emergency Medicine Physician
1906 Belleview Ave SE
NPI: 1962466458

DR. JEFFREY ALLEN COLES (MD)

Emergency Medicine Physician
2400 Lee Hwy N
NPI: 1760430243

DR. JOHN J BOLLIG (M.D.)

Family Medicine Physician
1509 HEATHWOOD DR
NPI: 1720031487

ERIN H DOVE (M.D.)

Emergency Medicine Physician
180 Floyd Ave
NPI: 1992750947

DR. KHALED FATHY SAID (MD)

Emergency Medicine Physician
16000 Johnston Memorial Dr
NPI: 1902841539

DR. MICHELE H HOLLIS (MD)

Emergency Medicine Physician
2400 Lee Hwy N
NPI: 1699702027

SAQIB MIAN SHAH (MD)

Internal Medicine Physician
LewisGale Hospital Pulaski, 2400, Lee Highway, Pulaski, Pulaski County, Virginia, 24301, United States
NPI: 1730101593

DR. STEVEN JEROME PASTERNAK (M.D.)

Emergency Medicine Physician
2400 Lee Hwy N
NPI: 1134222300