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

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 and National Provider Directory roles.

• Neurogevity LLC

  • Neurology Physician
  • Murfreesboro, TN
  • NPI 1194461947

  Neurology

  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

• All providers in Murfreesboro, TN
• 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.