CLARK K BRACKNEY, DPM, Primary Podiatric Medicine GREENSBORO, NC

Contact Information

CLARK K BRACKNEY, DPM

530 N ELAM AVE STE A
GREENSBORO, NC 27403-1139

Phone: 336-299-0271
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Podiatric Medicine	213EP1101X	48	Podiatry
Surgery, Foot	213ES0131X	48	Podiatry
Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for CLARK K BRACKNEY · (Male)

NPI #	`1699237016`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	04/03/2019
Last updated	08/09/2022 - About 4 years ago
Sole proprietor ¹	No
Identifiers	NC License # 788
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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