WILLIAM CONRAD BLACK (NPI# 1053722413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053722413 |
| Entity Type | Individual |
| Full Name | WILLIAM CONRAD BLACK |
| Credential | M.D. |
| Practice Address |
801 Princeton Ave Sw Ste 229 Birmingham AL 35211-1322 |
| Practice Telephone | 2057833505 |
| Practice Fax Number | 2057833508 |
| Mailing Telephone | (205) 783-3505 |
| Mailing Fax Number | 2057833508 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 34489 | AL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 Crestwood Blvd Ste 200, Irondale, AL 352102052 | 2055925135 | 2055921795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| 1043628928 | William Black | Pharmacist | 343 S 500 E Apt 217, Salt Lake City, UT 84102-4024 | 2014-07-23 |
| 1275731721 | William Edward Black | Dentist | 182 East Washington Street, Chambersburg, PA 17201 | 2007-07-06 |
| 1972716314 | William Jesse Black | Counselor | 77 W 5th St, Zumbrota, MN 55992-1650 | 2007-05-08 |
| 1497878334 | William Howard Black | Internal Medicine | 7129 Duckhorn Ln, The Colony, TX 75056-5342 | 2007-04-07 |
| 1902935349 | William Edward Black | Dentist | 1612 N 2nd St, Harrisburg, PA 17102-2438 | 2007-03-03 |
| 1063591162 | William Thomas Black | Optometrist | 420 E Elm St, Caldwell, ID 83605-4846 | 2006-11-02 |
| 1326121211 | William R Black | Preventive Medicine | 1313 S Range Line Rd, Joplin, MO 64801-5588 | 2006-10-23 |
| 1467532010 | William Black | Internal Medicine | 2015 Steiner St, San Francisco, CA 94115-2627 | 2006-10-17 |
| 1609800598 | William L Black Jr. | Internal Medicine | 1485 Chester Blvd, Richmond, IN 47374-1919 | 2006-07-10 |
| Street Address |
801 PRINCETON AVE SW STE 229 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003892084 | Mary Jane Misischia | Internal Medicine | 801 Princeton Ave Sw Ste 229, Birmingham, AL 35211-1322 | 2005-12-21 |
| 1457706657 | Lauren Lavender Pacheco | Internal Medicine | 801 Princeton Ave Sw Ste 229, Birmingham, AL 35211-1322 | 2016-04-26 |
| 1265811970 | Brytney Snow Cobia | Internal Medicine | 801 Princeton Ave Sw Ste 229, Birmingham, AL 35211-1322 | 2015-05-27 |
| 1194810150 | Richard James Misischia Sr. | Internal Medicine | 801 Princeton Ave Sw Ste 229, Birmingham, AL 35211-1322 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872999 | Robert C. Cain, M.d., LLC | Internal Medicine | 5381 1st Ave N, Birmingham, AL 35212-2401 | 2020-05-07 |
| 1710432083 | Daniela Urina Jassir | Internal Medicine | 1720 2nd Ave S # Tht321, Birmingham, AL 35294-0004 | 2016-08-16 |
| 1942650023 | Swaroop Vitta | Internal Medicine | 1720 2nd Ave S # Bdb355, Birmingham, AL 35294-0012 | 2016-06-20 |
| 1477900736 | Nathan Terry Douthit | Internal Medicine | 801 Princeton Ave Sw Ste 228, Birmingham, AL 35211-1310 | 2016-05-17 |
| 1104289735 | Joe W. Chiles IIi | Internal Medicine | 1720 2nd Ave S # Tht422, Birmingham, AL 35294-0004 | 2016-03-31 |
| 1346602752 | Joshua Thomas Gautney | Internal Medicine | 1900 University Blvd Tinsley Harrison Tower Tht422, Birmingham, AL 35294-7201 | 2016-03-24 |
| 1366817199 | Stv Cardiology Clinic LLC | Internal Medicine | 46 Medical Park East Drive, Building 46, Suite 460, Birmingham, AL 35235-3401 | 2015-12-04 |
| 1891160875 | Thomas Lee Baumann | Internal Medicine | 3805 Kinross Dr, Birmingham, AL 35242-5803 | 2015-12-02 |
| 1295122281 | Audrey Rebecca Lloyd | Internal Medicine | Tht 229 1720 2nd Ave South, Birmingham, AL 35294-0001 | 2015-04-17 |
| 1154715365 | Danielle Demontigny Avila | Internal Medicine | 625 19th St. South, Birmingham, AL 35249 | 2015-03-25 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
Please comment or provide details below to improve the information on WILLIAM CONRAD BLACK.
| 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.