Brian Kelly Clark is a Hampton, Virginia based nurse anesthetist with 24 years of experience as Anesthesia Administration. He completed he graduation in 2001. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Brian Kelly Clark is 0024165065 for Anesthesia Administration in Virginia. his current practice location is 501 Medical Dr, Hampton. Patients can reach him at 703-295-9360 or can fax him at 703-295-9369. Brian Kelly Clark is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1821059403.
Brian Kelly Clark is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Brian Kelly Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Anesthesia Administration |
| Credentials: | CRNA |
| Experience: | 24+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2001 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 501 Medical Dr, Hampton,
Virginia, 23666-6080 |
| Phone: | 703-295-9360 |
| Fax: | 703-295-9369 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1658360441 |
| Enrollment ID: | I20120515000497 |
| NPI Number: | 1821059403 |
| NPI Enumeration Date: | 31 Mar, 2006 |
| NPI Last Update On: | 08 Mar, 2022 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brian Kelly Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 0024165065 | Anesthesia Administration | Virginia | Primary | |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Brian Kelly Clark has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Hazleton Anesthesia Services Pc (2365584141) | 22 |
| Summit Physician Services (5496659484) | 360 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Brian Kelly Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 010170699 | Medicaid | Virginia | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 37090,
Baltimore, Maryland |
| Zip: | 21297-3090 |
| Phone Number: | 703-295-9360 |
| Fax Number: | 703-295-9369 |
Patients can reach Brian Kelly Clark at
501 Medical Dr, Hampton, Virginia or can
call to book an appointment on 703-295-9360.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.