Dr. Henry Bushnell Clarke, M.D.
Neurological Surgery in St Petersburg, FL. Individual provider (NPI-1).
NPI number1891722583
StatusActive
Last updated in NPPESApr 25, 2017
Details
- NPI
- 1891722583
- Entity type
- Individual (NPI-1)
- Name
- Dr. Henry Bushnell Clarke
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2006
- Last updated
- Apr 25, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | ME0059894 | FL | Yes |
Practice location
603 7th St SSuite 540
St Petersburg, FL 33701-4734
Phone 727-553-7550 · Fax 727-553-7549
Mailing address
Po Box 10744Clearwater, FL 33757-8744
Phone 727-532-0002 · Fax 727-266-4943
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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