Individual
ROBERT CHARLES CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1044483
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034384600
—
FL
05
—
051515739
—
AL
01
—
51515739
BCBS AL
AL
05
—
691173405B
—
GA
01
—
P00057714
RR MCARE
—
Enumeration date
03/31/2006
Last updated
07/25/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up