Doctor profile · Federal record
Dr. Bryan Clark, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Medical Physician Assistant · Sandy, UT
- NPI 1093777047
- Accepts Medicare
- 25 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
9844 S 1300 E, Ste 275
Sandy, UT 840944692
(801) 571-7061
fax (801) 571-9277 - Mailing address
-
Po Box 27128
Salt Lake City, UT 841270128
Credentials & registration
- NPI registered
- April 2006 — 20 yrs on file
- Profile last updated
- April 22, 2016
- Year of graduation
- 2001 — 25 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Utah #3231151206
- Medicaid
- UT #999000116008
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093777047. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| VERTEX PHARMACEUTICALS INCORPORATED | 1 | $19.13 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Bryan Clark's medical specialty?
Dr. Bryan Clark practices Surgical Physician Assistant in Sandy, UT.
Where does Dr. Bryan Clark practice?
Dr. Bryan Clark practices at 9844 S 1300 E, Sandy, UT 840944692. Office phone: 8015717061.
What is Dr. Bryan Clark's NPI?
Dr. Bryan Clark's National Provider Identifier (NPI) is 1093777047, issued by NPPES.
Does Dr. Bryan Clark accept Medicare assignment?
Yes. Dr. Bryan Clark accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.