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

Tanner Cody Clark, MD

Individual provider Diagnostic Radiology Physician · NPI 1689060139

Tanner Cody Clark, MD is a Diagnostic Radiology in Bedford, Nh 03110, New Hampshire. Graduated from University of Washington School of Medicine in 2015, 11 years ago. Practices with Southern New Hampshire Radiology Consultants PC, a 40-clinician group and accepts Medicare assignment. Licensed in New Hampshire and Washington.

Years since qualifying
11
Trained at
University of Washington School of Medicine
Licensed in
NH, WA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

703 Riverway Pl
Bedford, Nh 03110, NH 03110
Phone: (603) 627-1661
Fax: (603) 669-6944
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 24268 (NH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD60961230 (WA)

Record details

NPI number1689060139
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2015
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Southern New Hampshire Radiology Consultants Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare