Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bryan A Clark, PA-C

Individual provider Medical Physician Assistant · NPI 1093777047

Bryan A Clark, PA-C is a Physician Assistant in Sandy, Utah. Qualified in 2001, 25 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
25
Licensed in
UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9844 S 1300 E Ste 275
Sandy, UT 84094-4692
Phone: (801) 571-7061
Fax: (801) 571-9277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 3231151206 (UT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3231151206 (UT)

Record details

NPI number1093777047
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESApril 22, 2016
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Sandy