Stephen Wesley Clark, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD47319 Issued in TN

Practice address

520 Highland Ter Ste D
Murfreesboro, TN 37130-2496

Phone

(615) 802-5900

NPI assigned

Jul 17, 2007

Last updated

Jan 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurogevity LLC

  • Neurology Physician
  • Murfreesboro, TN
  • NPI 1194461947
  NPD Authorized official

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1992904049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8539 HEIRLOOM BLVD",
            "city": "COLLEGE GROVE",
            "state": "TN",
            "postal_code": "370461439",
            "telephone_number": "615-983-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HIGHLAND TER STE D",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302496",
            "telephone_number": "615-802-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "STEPHEN",
        "middle_name": "WESLEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "TN",
            "license": "MD0000047319",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD47319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick W. Clark, M.D.
• Penny Abel Clark, LAPSW
• Richie D Clark, PHARMD
• Robert Douglas Clark, LCSW
• S Kathleen Clark, MD
• Stevie Leigh Clark, ED.S.
• Diana Marie Clarke, COTA
• Kimara Clarke, LPC-MHSP
• Jenna R Claxton, NP
• Warren F Clayton Jr., MD

• Neurology Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.

Verify at the official NPI Registry.