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

Clark Hardgrave, PA-C

Individual provider Physician Assistant · NPI 1255733135

Clark Hardgrave, PA-C is a Physician Assistant in Albuquerque, New Mexico. Qualified in 2014, 12 years ago. Practices with Unm Medical Group Inc, a 1,060-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
12
Licensed in
NM
In the registry since
2014
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

5608 Zuni Rd SE
Albuquerque, NM 87108-2926
Phone: (505) 262-2481
Fax: (505) 262-0781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2014-0067 (NM)

Record details

NPI number1255733135
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 22, 2014
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025
Mailing address800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Unm Medical Group Inc — 1060 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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