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

Benjamin T Clark, DO

Individual provider Family Medicine Physician · NPI 1831400894

Benjamin T Clark, DO is a Family Practice in Mesa, Arizona. Qualified in 2010, 16 years ago. Practices with Nextcare Arizona I Jv LLC, a 301-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
16
Licensed in
AZ
In the registry since
2010
Specialties on file
2
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

1840 S Stapley Dr Ste 101
Mesa, AZ 85204-6682
Phone: (480) 464-6979
Fax: (480) 464-6910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5891 W Eugie Ave, Glendale, AZ 85304-1252 — (602) 588-6725

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 006841 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831400894
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 24, 2010
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021
Mailing address25500 N Norterra Dr, Phoenix, AZ 85085-8200

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Nextcare Arizona I Jv Llc — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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