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

Dr. Shane Michael Clark, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316687536

Dr. Shane Michael Clark, MD is an Internal Medicine in Durham, North Carolina. Graduated from University of Florida College of Medicine in 2022, 4 years ago. Registered with an NPI since 2022.

Years since qualifying
4
Trained at
University of Florida College of Medicine
In the registry since
2022
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

2301 Erwin Rd
Durham, NC 27705-4699
Phone: (919) 684-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1316687536
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address2301 Erwin Road, Durham, NC 27710-8665

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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