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

Randall Bruce Clark II, DO

Individual provider Diagnostic Radiology Physician · NPI 1265873111

Randall Bruce Clark II, DO is a Diagnostic Radiology in Cape Girardeau, Missouri. Qualified in 2013, 13 years ago. Practices with Premier Diagnostic Imaging, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
13
Licensed in
MO
In the registry since
2013
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

70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone: (573) 334-6071
Fax: (573) 334-4739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2013021199 (MO)

Record details

NPI number1265873111
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 8, 2013
Last updated in NPPESJanuary 27, 2021
Certification dateJanuary 27, 2021
Mailing address70 Doctors Park, Cape Girardeau, MO 63703-4928

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Premier Diagnostic Imaging, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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