Active NPI
Wesley Thomas Z Clark
- Community/Behavioral Health Agency
- Brevard, NC
National Provider Identifier
1679277750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 65 N Broad St
Brevard, NC 28712-3725 - Phone
- (828) 883-2708
- NPI assigned
- Mar 30, 2023
- Last updated
- Mar 30, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NC | Primary |
Addresses
Primary practice location
65 N Broad St
Brevard, NC 28712-3725
Mailing address
PO Box 1901
Brevard, NC 28712-1901
Phone (318) 730-3617
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1679277750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1901",
"city": "BREVARD",
"state": "NC",
"postal_code": "287121901",
"telephone_number": "318-730-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 N BROAD ST",
"city": "BREVARD",
"state": "NC",
"postal_code": "287123725",
"telephone_number": "828-883-2708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "WESLEY THOMAS",
"middle_name": "Z",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-30",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brevard, NC
- Charles D. Lefler M.D. ,P.a
- Marco Chavarria-Aguilar, MD
- Choice Sleep Labs Inc
- Dana Christianson, MD
- John Douglas Clark Jr., MD
- Joseph Andrew Cohen, MD
- Scott Cameron Cole, M.D.
- Heather Comfort, LCSW
- Community Carepartners, Inc (CarePartners Home Care & Hospice)
- Community Carepartners, Inc (CarePartners Home Care & Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.