Bradlee Christopher Clark

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

442 Little Grave Creek Dr
Glen Dale, WV 26038-1242

Phone

(304) 559-9223

NPI assigned

Feb 6, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1295686137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 LITTLE GRAVE CREEK DR",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381242",
            "telephone_number": "304-559-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 LITTLE GRAVE CREEK DR",
            "city": "GLEN DALE",
            "state": "WV",
            "postal_code": "260381242",
            "telephone_number": "304-559-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRADLEE",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Bushovisky
• Carlos C. Jimenez MD Professional Corporation
• Michael Carney, DO
• Charles L. Wylie DDS Group
• Angela Cisar
• Braylynn Diane Clark, APRN
• Curtis R Clark II, MD
• Courtney Danielle Cooper, PA
• Carson Leigh Catherine Corrick, PA-C
• Megan Nichole Cronin

• Personal Care Attendant in Glen Dale, WV
• Providers in Glen Dale, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.