Active NPI
Brent Clark, M.D.
- Family Medicine Physician
- Pittsburgh, PA
National Provider Identifier
1902874456
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD042270L
- Practice address
- 9816 Frankstown Rd
Pittsburgh, PA 15235-1643 - Phone
- (412) 243-4525
- Fax
- (412) 243-3784
- NPI assigned
- Mar 10, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD042270L | PA | Primary |
Addresses
Primary practice location
9816 Frankstown Rd
Pittsburgh, PA 15235-1643
Mailing address
9816 Frankstown Rd
Pittsburgh, PA 15235-1643
Phone (412) 243-4525
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 617289 | Other | PA | HIGHMARK |
| 1203799 | Other | FIRST HEALTH | |
| 3767 | Other | HEALTHAMERICA | |
| 64166 | Other | UNITEDMINEWORKERAMERICA | |
| 47630 | Other | PA | AETNA |
| 60049 | Other | PA | UNISON ADVANTAGE |
| 1010600 | Other | PA | GATEWAY HEALTH PLAN |
| 251661326 | Other | PA | ADVANTRA |
| 120315400 | Other | USDEPTOLABOR WORKERSCOMP | |
| 12627 | Other | ELDER HEALTH | |
| 250326 | Other | PA | UPMC |
| 251661326 | Other | PA | HEALTHAMERICA |
| 0012387920002 | Medicaid | PA | |
| 0012387920005 | Medicaid | PA | |
| 0012387920006 | Medicaid | PA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Health Services Management, LP | Past | Accepting new patients | |
| Med Health Service | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Monroeville, PA
- NPI 1437483369
-
- Specialist
- Monroeville, PA
- NPI 1750421301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1902874456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9816 FRANKSTOWN RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152351643",
"telephone_number": "412-243-4525",
"fax_number": "412-243-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9816 FRANKSTOWN RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152351643",
"telephone_number": "412-243-4525",
"fax_number": "412-243-3784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "BRENT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-10",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD042270L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "617289",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1203799",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA",
"identifier": "3767",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDMINEWORKERAMERICA",
"identifier": "64166",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "47630",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON ADVANTAGE",
"identifier": "60049",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY HEALTH PLAN",
"identifier": "1010600",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANTRA",
"identifier": "251661326",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USDEPTOLABOR WORKERSCOMP",
"identifier": "120315400",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDER HEALTH",
"identifier": "12627",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "250326",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA",
"identifier": "251661326",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012387920002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012387920005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012387920006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.