Provider Demographics
NPI:1770378663
Name:BRACKEN CLARKE, DARA (MD)
Entity type:Individual
Prefix:DR
First Name:DARA
Middle Name:
Last Name:BRACKEN CLARKE
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:DARA
Other - Middle Name:
Other - Last Name:BRACKEN-CLARKE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:MEDICAL ONCOLOGY FELLOWS' SUITE 10 CENTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:240-551-4688
Mailing Address - Fax:
Practice Address - Street 1:NIH CLINICAL CENTER 10 CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:240-551-4688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program