Dr. Gary Bruce Clark, MD
Dr. Gary Bruce Clark is a General Practice Physician provider (General Practice) practicing in Boulder, CO, registered in the NPPES registry with NPI 1902962939 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1902962939 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Gary Bruce Clark |
| Credential | MD |
| Sex | Male |
| Practice address | Boulder, CO, 80301 |
| Phone | 3034445131 |
| Fax | 3034445131 |
| Enumeration date | 2006-12-27 |
| Last updated in NPPES | 2007-07-08 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208D00000X | General Practice Physician | Primary | 20926 | CO |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Gary Clark, MD NPI: 1902962939 Taxonomy: 208D00000X (General Practice Physician) Address: Boulder, CO, 80301
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831184381 | Myra Tuckerman | Individual | Family Medicine Physician | Boulder, CO |
| 1154429801 | Linda Wilkinson | Individual | Professional Counselor | Boulder, CO |
| 1841351178 | Charlie Merrill | Individual | Physical Therapist | Boulder, CO |
| 1700086279 | Marc Wind | Individual | Chiropractor | Boulder, CO |
| 1235327198 | Brian T. Shea Do LLC | Organization | Internal Medicine Physician | Boulder, CO |
| 1508030529 | Boulder Therapeutics, Inc. | Organization | Massage Therapist | Boulder, CO |
| 1649430117 | Patricia Da Costa | Individual | Mental Health Counselor | Boulder, CO |
| 1073773479 | Lisa Luciano | Individual | Mental Health Counselor | Boulder, CO |
Verify this record
Cross-check NPI 1902962939 against the authoritative CMS record: view Dr. Gary Bruce Clark on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2007-07-08.