Individual provider Active NPI

William S Clark, ME

  • Anesthesiology Physician
  • New Bern, NC
National Provider Identifier
1609817832
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
33966 Issued in NC
Practice address
2719 Neuse Blvd
B & C
New Bern, NC 28562-2840
Phone
(252) 633-6117
Fax
(252) 633-2644
NPI assigned
Jun 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 33966 NC Primary

Addresses

Primary practice location

2719 Neuse Blvd
B & C
New Bern, NC 28562-2840

Mailing address

2719 Neuse Blvd
B & C
New Bern, NC 28562-2840
Phone (252) 633-6117

Other identifiers 1

IdentifierTypeStateIssuer
8922615MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Engineering

State licenses

LicenseStateTypeSpecialty
16743NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609817832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 NEUSE BLVD",
            "address_2": "B & C",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622840",
            "telephone_number": "252-633-6117",
            "fax_number": "252-633-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 NEUSE BLVD",
            "address_2": "B & C",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622840",
            "telephone_number": "252-633-6117",
            "fax_number": "252-633-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "credential": "ME",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "33966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922615",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.