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

Clark Calvin Anderson, MD

Individual provider Internal Medicine Physician · NPI 1104485770

Clark Calvin Anderson, MD is a Radiation Oncology in San Antonio, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2019, 7 years ago. Practices with Bon Secours Medical Group Richmond Specialty Care LLC, a 354-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
7
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
NC, VA
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4502 Medical Dr
San Antonio, TX 78229
Phone: (920) 460-8927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Medical Center Blvd, Winston Salem, NC 27157-0001 — (336) 716-2011
  • 210 Medical Park Blvd Ste 100, Petersburg, VA 23805-9348 — (804) 765-5850

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence NONE (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0101281056 (VA)

Record details

NPI number1104485770
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2019
Last updated in NPPESJune 25, 2024
Certification dateJuly 18, 2023

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Bon Secours Medical Group Richmond Specialty Care Llc — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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