Brian Edward Black in Miami - Sports Medicine
Brian Edward Black - NPI 1649269473
Brian Edward Black is a Sports Medicine in Miami, Florida. Brian Edward Black practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Brian Edward Black is 1649269473. The last update date is 2021-06-15.
Brian Edward Black's current location address is 1611 Nw 12th Ave, Miami, Florida. You can contact this provider via phone number 3055855881 and fax number 3055853322. The mailing address for Brian Edward Black is 1611 Nw 12th Ave, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Edward Black |
|---|---|
| Address | 1611 Nw 12th Ave, Miami, Florida |
| Phone Number | 3055855881 |
| Fax Number | 3055853322 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1649269473 |
|---|---|
| Provider Enumeration Date | 2005-10-14 |
| Last Updated Date | 2021-06-15 |
Provider Mailing Address Detail
| Address | 1611 Nw 12th Ave |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331361005 |
| Phone Number | 3055855881 |
| Fax Number | 3055853322 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2080S0010X |
| Licence No | 31096 |
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Definition: A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experien |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31606600 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Brian Edward Black by the Centers for Medicare & Medicaid Services?
The Brian Edward Black has been issued the NPI (National Provider Identifier) 1649269473. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Brian Edward Black's physical address?
The Brian Edward Black is physically located at 1611 Nw 12Th Ave, in the city of Miami, FL, with the postal code 331361005.
What is Brian Edward Black's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian Edward Black's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080S0010X.
When was the Brian Edward Black's 1649269473 issued?
The Brian Edward Black's 1649269473 was issued on 2005-10-14.
When was the information related to Brian Edward Black most recently updated or refreshed?
The details pertaining to the Brian Edward Black, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-06-15.