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

Carol Clark

Individual provider Emergency Medicine Physician · NPI 1215996574

Carol Clark is an Emergency Medicine in Royal Oak, Michigan. Graduated from Wayne State University School of Medicine in 1985, 41 years ago. Practices with Beaumont Medical Group Hospital Based Services, a 572-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
41
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
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Practice location Address checks out

3601 W 13 Mile Rd Ec
Royal Oak, MI 48073-6712
Phone: (248) 898-0575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301050141 (MI)

Record details

NPI number1215996574
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Beaumont Medical Group Hospital Based Services — 572 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Royal Oak