npidexNPI registry + Medicare data

GARY CLARK, MD

General Practice Physician · BOULDER, CO

Individual Active Opted out of Medicare NPI 1902962939

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
General Practice Physician208D00000X✓20926CO

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (General Practice), effective 2015-09-24 through 2027-09-24.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.