Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902962939 Individual Practitioner Male Practitioner

Dr. Gary Bruce Clark , MD

General Practice • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Dr. Gary Clark, MD is a registered healthcare professional specializing in General Practice in Boulder, CO. Practice services are available at 1790 30TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1790 30th St
Suite 230

Boulder, CO 803011022

Telephone 3034445131
Fax 3034445131
Associated Practice Facility / Clinic
🏢 Brian T. Shea Do Llc Facility NPI 1235327198

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
11 Specialists

Practicing in Boulder, CO (331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CO 20926

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dr. Lisa Luciano , PhD

Counselor - Mental Health

NPI 1073773479

Doctor of Philosophy (Ph.D.)

Dr. Linda Wilkinson , PhD, LPC

Counselor - Professional

NPI 1154429801

Doctor of Philosophy (Ph.D.), Licensed Professional Counselor

Gudrun Dilger , MED, MA, LPC, CACIII

Counselor - Addiction (Substance Use Disorder)

NPI 1194012583

Master of Education, Master of Arts, Licensed Professional Counselor, CACIII

Emily Muery

Chiropractor

NPI 1265238273
Hilary Booco

Speech-Language Pathologist

NPI 1316355365
Ruth Wharton , MA, LPC

Counselor - Professional

NPI 1386899169

Master of Arts, Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1790 30TH ST, SUITE 230, BOULDER, CO 803011022 (Tel: 3034445131)

📍
Updated Business Mailing Address July 08, 2007

Registered at 12541 GROVE ST, BROOMFIELD, CO 800205869 (Tel: 7208875726)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as GARY CLARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #20926 in CO)

🟢
Initial NPI Registration & Enumeration December 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902962939
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

12541 Grove St

Broomfield, CO 800205869

Phone: 7208875726

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.