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

Dr. Ron Clark, MD

Individual provider Orthopaedic Surgery Physician · NPI 1073511598

Dr. Ron Clark, MD is an Orthopedic Surgery in South Bend, Indiana. Graduated from University of Texas Medical Branch at Galveston in 1986, 40 years ago. Accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
40
Trained at
University of Texas Medical Branch at Galveston
Licensed in
IN
In the registry since
2005
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

211 N Eddy St
South Bend, IN 46617-2808
Phone: (574) 237-9294
Fax: (574) 237-9259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 01051209A (IN)

Record details

NPI number1073511598
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2005
Last updated in NPPESJune 9, 2008
Mailing address211 N Eddy St, South Bend, IN 46617-2808

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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