Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Robert Clark, DO

Individual provider Family Medicine Physician · NPI 1912988635

Andrew Robert Clark, DO is a Family Practice in Bradenton, Florida. Qualified in 2003, 23 years ago. Practices with Cooper Family Medical PLLC, a 19-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
23
Licensed in
FL
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5123 4th Avenue Cir E
Bradenton, FL 34208-5620
Phone: (941) 744-5510
Fax: (941) 744-5166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS9370 (FL)

Record details

NPI number1912988635
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedNovember 9, 2005
Last updated in NPPESMay 15, 2014
Mailing address5123 4th Avenue Cir E, Bradenton, FL 34208-5620

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Cooper Family Medical Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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