Healthcare Provider Details

I. General information

NPI: 1144292459
Provider Name (Legal Business Name): STEVEN BRIAN CLAYTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL BOULEVARD
WINSTON SALEM NC
27157-0001
US

IV. Provider business mailing address

1 MEDICAL BOULEVARD
WINSTON SALEM NC
27157-0001
US

V. Phone/Fax

Practice location:
  • Phone: 336-713-7777
  • Fax:
Mailing address:
  • Phone: 336-713-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number200400474
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD36833
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: