Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mitchell Brent Clark, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669817854

Dr. Mitchell Brent Clark, MD is a Gynecological Oncology in New Haven, Connecticut. Qualified in 2020, 6 years ago. Practices with Stamford Health Medical Group Inc, a 432-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

New Haven, CT

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 267 Grant St., Bridgeport, CT 06610 — (203) 384-3990

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X · Licence 65152 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669817854
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 2, 2013
Last updated in NPPESApril 9, 2020
Certification dateApril 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGYNECOLOGICAL ONCOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Stamford Health Medical Group Inc — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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