Clark Brittain DO PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

CLARK BRITTAIN DO PC

Practice address

642 S Walker St
Bloomington, IN 47403-2158

Phone

(812) 331-9160

Fax

(812) 336-0277

NPI assigned

Jan 31, 2006

Last updated

Oct 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

P. Clark Brittain, DO

Title

Owner

Phone

(812) 331-9160

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip Clark Brittain, DO

  • Gynecology Physician
  • Bloomington, IN
  • NPI 1073508040
  NPD

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1215908827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 S WALKER ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032158",
            "telephone_number": "812-331-9160",
            "fax_number": "812-336-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 S WALKER ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032158",
            "telephone_number": "812-331-9160",
            "fax_number": "812-336-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK BRITTAIN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "BRITTAIN",
        "authorized_official_first_name": "P. CLARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-331-9160",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "CJ4778",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BS",
            "identifier": "000000112969",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Clampitt, DC
• Steven Wade Clapp, MD
• Matthew Howard Clardy, PMHNP
• Gail Padish Clarin, AU.D.
• Clariti Inc.
• Amanda J Clark, PT
• Christopher Anderson Clark, OD
• Gregory Scott Clark, LCSW
• Jared Michael Clark
• Jessica Clark

• Gynecology Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.