BRADLEY C BLACK (NPI# 1356347884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356347884 |
| Entity Type | Individual |
| Full Name | BRADLEY C BLACK |
| Credential | MD |
| Practice Address |
302 W 14th St Ste 100 Jeffersonville IN 47130-3751 |
| Practice Telephone | 8122840660 |
| Practice Fax Number | 8122843822 |
| Mailing Telephone | 8122840660 |
| Mailing Fax Number | 8122843822 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2008-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 01027732A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PASSPORT | 1051940 | 01 |
| KY | UNISYS | 64755762 | 01 |
| UNITED HEALTHCARE | 351995025 | 01 | |
| CIGNA | 351995025 | 01 | |
| ANTHEM | 000000042712 | 01 | |
| IHN | 33654 | 01 | |
| SIHO | 245535P | 01 | |
| AETNA | 4114033 | 01 | |
| FIRST HEALTH | 4114033 | 01 | |
| SAGAMORE | 351995025 | 01 | |
| BLOCK VISION | 918528 | 01 | |
| HUMANA | 351995025 | 01 | |
| IN | 100116130 | 05 | |
| FIRST HEALTH | 690178 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861541575 | Bradley C Black | Ophthalmology | 5220 Flanders Dr, Baton Rouge, LA 70808-9157 | 2007-01-10 |
| Street Address |
302 W 14TH ST STE 100 |
| City | JEFFERSONVILLE |
| State | IN |
| Zip Code | 47130-3751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114288313 | Laura Nolan Rose | Optometrist | 302 W 14th St, Suite 100a, Jeffersonville, IN 47130-3751 | 2012-06-04 |
| 1932466166 | Edwin James Apenbrinck | Ophthalmology | 302 W 14th St, Suite 100a, Jeffersonville, IN 47130-3751 | 2012-04-12 |
| 1629266705 | Eye Associates of Southern Indiana | Durable Medical Equipment & Medical Supplies | 302 W 14th St, #100, Jeffersonville, IN 47130-3751 | 2007-10-15 |
| 1801086699 | Dana D Conway | Optometrist | 302 W 14th St, Suite 100a, Jeffersonville, IN 47130-3751 | 2007-07-27 |
| 1336219922 | Eye Associates of Southern Indiana PC | Optometrist | 302 W 14th St, #100, Jeffersonville, IN 47130 | 2006-11-09 |
| 1568492965 | Steven M Howell | Ophthalmology | 302 W 14th St, Suite 100, Jeffersonville, IN 47130-3751 | 2006-07-03 |
| 1518922541 | Vision Surgical Center At Springhill Psc | Clinic/Center | 302 W 14th St, Suite 100b, Jeffersonville, IN 47130-3751 | 2006-04-20 |
| 1922004258 | Carolyn W Hall | Optometrist | 302 W 14th St, Ste 100, Jeffersonville, IN 47130-3751 | 2005-06-22 |
| 1013913326 | Michael A Dankovich | Optometrist | 302 W 14th St, Ste 100, Jeffersonville, IN 47130-3751 | 2005-06-22 |
| 1699770123 | Lindsay M Swearingen | Optometrist | 302 W 14th St, Ste 100, Jeffersonville, IN 47130-3751 | 2005-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972124717 | Jeffersonville Commons Dental | Dentist | 1019 Jeffersonville Commons Drive, Jeffersonville, IN 47130 | 2020-05-04 |
| 1467099978 | Mercury Ambulance Service Inc | Ambulance | 623 Crestview Court, Jeffersonville, IN 47130 | 2019-12-03 |
| 1427514710 | Conn Hearing Aid Center LLC | Hearing Instrument Specialist | 1516 Spring Street, Jeffersonville, IN 47130 | 2019-02-12 |
| 1619446127 | Wellness for Life | Clinic/Center | 1 Pirate Pl, Charlestown, IN 47130 | 2018-11-14 |
| 1083199939 | Stephanie Allen LLC | Dentist | 434 Patrol Road, Suite 200, Jeffersonville, IN 47130 | 2018-09-26 |
| 1679068332 | Personal Choice Inc | Day Training, Developmentally Disabled Services | 3114 Clear Stream Wat, Jeffersonville, IN 47130 | 2018-06-26 |
| 1417454638 | Jason Allen | Social Worker | 101 Noahs Ln, Jeffersonville, IN 47130 | 2018-04-13 |
| 1508374299 | Kelsey Petty | Social Worker | 101 Noahs Lane, Jeffersonville, IN 47130 | 2018-01-16 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1831618602 | Alyssa Marie Elliott | Physical Therapist | 3040 Gottbrath Pkwy, Jeffersonville, IN 47130 | 2017-09-13 |
| Find all providers in zip 47130 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194859389 | Kristopher R. Pugh | Ophthalmology | 302 W 14th St Ste 100a, Jeffersonville, IN 47130-3751 | 2007-03-16 |
| 1609877083 | John Kenyon Eye Center | Ophthalmology | 1305 Wall St, Jeffersonville, IN 47130-3853 | 2005-08-09 |
| 1932466166 | Edwin James Apenbrinck | Ophthalmology | 302 W 14th St, Suite 100a, Jeffersonville, IN 47130-3751 | 2012-04-12 |
| 1184999500 | David Shane Strickland | Ophthalmology | 302 W 14th St Ste 100a, Jeffersonville, IN 47130-3751 | 2012-03-19 |
| 1568492965 | Steven M Howell | Ophthalmology | 302 W 14th St, Suite 100, Jeffersonville, IN 47130-3751 | 2006-07-03 |
| 1477559904 | Curtis A Jordan | Ophthalmology | 302 W 14th St, Ste 100, Jeffersonville, IN 47130-3751 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655533 | Vision Care Center LLC | Ophthalmology | 120 Se 4th St Ste 1300, Evansville, IN 47708-1607 | 2020-07-02 |
| 1346860947 | Timecertain, PC | Ophthalmology | 3530 S Keystone Ave, Indianapolis, IN 46227-3611 | 2020-04-23 |
| 1316566797 | Visionary Eye Specialists LLC | Ophthalmology | 9002 N Meridian St Ste 112, Indianapolis, IN 46260-5349 | 2020-04-15 |
| 1467003756 | Rachel Davis | Ophthalmology | 14637 N Gray Rd, Westfield, IN 46062-9274 | 2019-09-27 |
| 1255986162 | Northeast Ophthalmology P C | Ophthalmology | 7750 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-4174 | 2019-08-07 |
| 1033631098 | Cataract Vision Institute Indiana LLC | Ophthalmology | 11595 North Meridian, Ste 175, Carmel, IN 46032 | 2017-07-12 |
| 1356703821 | Anjulie Gang | Ophthalmology | 9002 N Meridian St Ste 100, Indianapolis, IN 46260-5354 | 2016-03-24 |
| 1215302567 | Chad R. Kauffman, Do, LLC | Ophthalmology | 7615 Dean Rd, Indianapolis, IN 46240-3635 | 2015-12-10 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1649665241 | Kevin Bubel | Ophthalmology | 759 45th St Ste 101, Munster, IN 46321-2939 | 2015-03-31 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSONVILLE |
| Zip Code | 47130 |
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| 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.