EDWARD BARNWELL BLACK


Address: 1705 East Blvd, Charlotte, NC 28203-5800
Phone: 7049095960

EDWARD BARNWELL BLACK (NPI# 1003811209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003811209
Entity Type Individual
Full Name EDWARD BARNWELL BLACK
Credential M.D.
Practice Address 1705 East Blvd
Charlotte
NC 28203-5800
Practice Telephone 7049095960
Practice Fax Number 7047700501
Mailing Telephone 7049095960
Mailing Fax Number 7047700501
Enumeration Date 2005-06-15
Last Update Date 2014-05-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
22677 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 7915850 05

Other Providers EDWARD BLACK

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1588023527 Edward Black Registered Nurse 424 Savannah Rd, Lewes, DE 19958-1462 2016-02-18
1265607774 Edward Black Pharmacy Technician 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 2008-04-25
1518004514 Edward Black Psychologist 1311 Lexington Ave, 1b, New York, NY 10128-1106 2007-01-31

Office Location

Street Address 1705 EAST BLVD
City CHARLOTTE
State NC
Zip Code 28203-5800

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NPI Name Taxonomy Address Enumeration
1407809197 Romy Lanier Cawood Psychologist 1705 East Blvd, Suite 116, Charlotte, NC 28203-5800 2006-05-17

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003110677 Charlotte Radiology Pa Radiology 1025 Morehead Medical Dr Ste 150, Charlotte, NC 28204-2973 2010-12-22
1144477258 Presbyterian Imaging Centers LLC Radiology 13557 Steelecroft Parkway, Suite 1100, Charlotte, NC 28278 2008-08-20
1801097803 Orion Imaging, LLC Radiology 10420 Park Rd, Ste 100, Charlotte, NC 28210-8501 2007-05-29
1457561912 John D Wylie Radiology 3816 Latrobe Dr, Charlotte, NC 28211-1167 2007-05-23
1417029455 Gregory John Duellman Radiology 14121 Lissadell Cir, Charlotte, NC 28277-3137 2006-11-14
1407926165 Metrolina Women's Breast Center Pllc Radiology 439 N Wendover Road, Charlotte, NC 28211 2006-11-09
1932286523 Charles Nicholas Pappas Radiology 609 Stockbridge Rd, Charlotte, VT 05445-9361 2006-11-01
1164439873 Kenneth Fox Radiology 9935d Rea Rd Ste 266, Charlotte, NC 28277-6710 2006-08-02
1265470421 Kevin W Carroll Radiology 3623 Latrobe Drive, Ste 216, Charlotte, NC 28211 2006-06-02
1528032604 Diane Huntington Conley Radiology 3815 Stoney Ridge Trl, Charlotte, NC 28210-6932 2006-02-15
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Competitor

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City CHARLOTTE
Zip Code 28203

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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