Brian Alan Clark, D.C., B.S.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10645 Issued in TX

Practice address

4544 S Lamar Blvd
Ste 750
Austin, TX 78745-1594

Phone

(512) 288-7000

Fax

(866) 212-5513

NPI assigned

Feb 2, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BCDC PLLC

  • Clinic/Center
  • Austin, TX
  • NPI 1952576019
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1023296977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4544 S LAMAR BLVD",
            "address_2": "STE 750",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451594",
            "telephone_number": "512-288-7000",
            "fax_number": "866-212-5513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4544 S LAMAR BLVD",
            "address_2": "STE 750",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451594",
            "telephone_number": "512-288-7000",
            "fax_number": "866-212-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRIAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C., B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-02",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Clark
• Amy Patrice Clark
• Andrea Dawn Clark, MSN, APRN, FNP-C
• Audrey Clark
• Brandi Nicole Clark
• Bridget Clark, PT
• Camille Clark
• Camille Elaine Clark, LCSW
• Cathryn Clark
• Christopher Sean Clark, LMFT

• Chiropractor in Austin, TX
• Providers in Austin, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.