Individual
BRYAN HOLLAN CLARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 S E ST, FORT SMITH, AR 72901-4716
(479) 785-2431
Mailing address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(479) 785-2431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-2745
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02090005200
QUALCHOICE
—
05
—
02450298
—
MS
01
—
080184879
RAILROAD MEDICARE
—
05
—
100143000A
—
OK
05
—
146720001
—
AR
05
—
1637041
—
LA
01
—
2220866
UNITED HEALTHCARE
AR
01
—
2674666001
CIGNA
—
01
—
5M245
BLUE CROSS/BLUE SHIELD
AR
01
—
7848374
AETNA
—
Enumeration date
06/09/2005
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us