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

Individual provider Certified Registered Nurse Anesthetist · NPI 1962477794

Brian Clark, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Kalamazoo, Michigan. Qualified in 2005, 21 years ago. Practices with Ella E M Brown Charitable Circle, a 174-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

900 Peeler St
Kalamazoo, MI 49008-2380
Phone: (269) 345-8618
Fax: (269) 345-1508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704219567 (MI)

Record details

NPI number1962477794
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 23, 2006
Last updated in NPPESJuly 8, 2007
Mailing address900 Peeler St, Kalamazoo, MI 49008-2380

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Ella E M Brown Charitable Circle — 174 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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