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

Dr. Bryan D. Clark, DO

Individual provider Emergency Medicine Physician · NPI 1194742643

Dr. Bryan D. Clark, DO is an Emergency Medicine in Pulaski, Virginia. Qualified in 2001, 25 years ago. Practices with Ingleside Emergency Group LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
25
Licensed in
VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2400 Lee Hwy N
Pulaski, VA 24301-2326
Phone: (540) 994-8100
Fax: (804) 379-7506
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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 0102201448 (VA)
Hospitalist Physician Taxonomy 208M00000X · Licence 0102201448 (VA)

Record details

NPI number1194742643
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESDecember 3, 2018
Mailing address2250 Castlebridge Rd, Midlothian, VA 23113-4009

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Ingleside Emergency Group Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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