Bryn Clark, L.AC., DIPL.OM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

213805 Issued in MA

Practice address

7 Thorndike St
Beverly, MA 01915-5817

Phone

(978) 922-3030

Fax

(978) 922-3086

NPI assigned

Jun 21, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Bryn Clark Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1023214707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 THORNDIKE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155817",
            "telephone_number": "978-922-3030",
            "fax_number": "978-922-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 THORNDIKE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155817",
            "telephone_number": "978-922-3030",
            "fax_number": "978-922-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRYN",
        "name_prefix": "Mr.",
        "credential": "L.AC., DIPL.OM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "213805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYN",
            "last_name": "CLARK",
            "credential": "L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• City of Beverly
• City of Beverly
• Karen Elizabeth Ciullo, OTR/L
• Victoria Jean Clair, M.S., MFT
• Sally A. Clapp, LMHC
• Jocelyn Ann Clark
• Jonna L Clark
• Scott Clark, OD
• Francis X Cleary, MD,FACC
• Sabrina Cleborne Weidler

• Acupuncturist in Beverly, MA
• Providers in Beverly, MA by specialty
• Acupuncturist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.