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

Dr. Gary Bruce Clark, MD

Individual provider General Practice Physician · NPI 1902962939

Dr. Gary Bruce Clark, MD is a General Practice Physician in Boulder, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2006
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

1790 30th St Ste 230
Boulder, CO 80301-1022
Phone: (303) 444-5131
Fax: (303) 444-5131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 20926 (CO)

Record details

NPI number1902962939
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 27, 2006
Last updated in NPPESJuly 8, 2007
Mailing address12541 Grove St, Broomfield, CO 80020-5869

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