Healthcare Provider Details

I. General information

NPI: 1043330558
Provider Name (Legal Business Name): JOSEPH BRIAN CLARK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 ERWIN ROAD DUKE UNIVERSITY HOSPITAL NORTH, SUITE 7453
DURHAM NC
27705
US

IV. Provider business mailing address

2301 ERWIN ROAD DUMC BOX 3474
DURHAM NC
27710
US

V. Phone/Fax

Practice location:
  • Phone: 919-681-2343
  • Fax: 919-681-4907
Mailing address:
  • Phone: 919-681-2343
  • Fax: 919-681-4907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number9901514
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberMD431746
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: