ALEX B. BLACK (NPI# 1861781536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861781536 |
| Entity Type | Individual |
| Full Name | ALEX B. BLACK |
| Credential | M.D. |
| Practice Address |
6451 Brentwood Stair Rd #200 Fort Worth TX 76112-3200 |
| Practice Telephone | 8174969700 |
| Mailing Telephone | 8174969700 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2015-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | P7610 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124556 | Alex Kendrick Black | Specialist/Technologist | 150 Jamerson Center (0502) 21 Beamer Way, Blacksburg, VA 24061-0001 | 2017-10-10 |
| 1699061358 | Alex Black | Pharmacist | 1400 S Havana St, Aurora, CO 80012-4014 | 2011-06-21 |
| 1689867806 | Alex Ren Black | Marriage & Family Therapist | 2540 Charleston St, Oakland, CA 94602-2508 | 2007-08-21 |
| Street Address |
6451 BRENTWOOD STAIR RD #200 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76112-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629053665 | William Hampton Caudill II | Emergency Medicine | 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112-3200 | 2005-12-13 |
| 1871084269 | Catherine Elizabeth Heider | Physician Assistant | 6451 Brentwood Stair Rd, Fort Worth, TX 76112 | 2018-05-22 |
| 1568996023 | Zulay Zambrano | Emergency Medicine | 6451 Brentwood Stair Rd, Fort Worth, TX 76112-3200 | 2017-04-11 |
| 1952751562 | Matthew Johnston | Physician Assistant | 6451 Brentwood Stair Rd, Fort Worth, TX 76112-3200 | 2016-06-14 |
| 1881049898 | Eric A Gordon | Physician Assistant | 6451 Brentwood Stair Rd, Fort Worth, TX 76112-3200 | 2016-04-27 |
| 1598123960 | Marisa Francois | Physician Assistant | 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112-3200 | 2016-02-01 |
| 1710352182 | Nincy George Samuel | Physician Assistant | 6451 Brentwood Stair Rd, #200, Fort Worth, TX 76112-3200 | 2015-12-10 |
| 1710396692 | Cory Bell | Physician Assistant | 6451 Brentwood Stair Rd, # 200, Fort Worth, TX 76112-3200 | 2014-08-05 |
| 1578902144 | Claudia Alexandra Deliz-guzman | Emergency Medicine | 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112-3200 | 2013-06-17 |
| 1649512419 | Whit Thomas Rutledge | Emergency Medicine | 6451 Brentwood Stair Rd, Suite 200, Fort Worth, TX 76112-3200 | 2013-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396211397 | Shelia Minor | Home Health Aide | 5648 Victoria Place, Fort Worth, TX 76112 | 2018-10-17 |
| 1457833816 | Joanne Medford | Physical Therapy Assistant | 1704 Wilson Rd, Fort Worth, TX 76112 | 2018-09-02 |
| 1821525502 | Kids & Hugs Home Therapy | Home Health | 2317 Maryel Dr., Fort Worth, TX 76112 | 2017-05-12 |
| 1932516846 | Neuroassessment Services LLC | Clinical Neuropsychologist | 5601 Bridge Street, Suite 500, Ft. Worth, TX 76112 | 2014-07-14 |
| 1114346335 | Blessed Beginnings | Day Training, Developmentally Disabled Services | 2320 Blue Smoke Court North, Fort Worth, TX 76112 | 2014-04-15 |
| 1790035517 | Transitions for Success Inc | In Home Supportive Care | 6228 Warrington Pl Ace, Fort Worth, TX 76112 | 2012-09-19 |
| 1194048116 | Jerlene Bonner Tippett | Home Health Aide | 1701 Bunch Dr, Ft Worth, TX 76112 | 2010-03-04 |
| 1396076543 | Roy Kenji Yamada | Emergency Medicine | 5800 Forest Bend Pl., Ft. Worth, TX 76112 | 2010-01-27 |
| 1437488228 | Rose A Miller | Case Manager/Care Coordinator | 7312 Laurie Drive, Ft. Worth, TX 76112 | 2009-12-08 |
| 1174760508 | Advocate Angels | Case Management | 6829 Gary Lane, Fort Worth, TX 76112 | 2009-01-07 |
| Find all providers in zip 76112 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656176 | Summit Emergency Medicine Pllc | Emergency Medicine | 2501 W 7th St Ste 101, Fort Worth, TX 76107-8014 | 2020-07-08 |
| 1720587314 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 5700 N Tarrant Pkwy, Fort Worth, TX 76244-7203 | 2018-02-08 |
| 1376090472 | Texacare Urgent Care, Pllc | Emergency Medicine | 3107 Greene Ave Ste 1, Fort Worth, TX 76109-2319 | 2016-09-06 |
| 1194145607 | Jim Carmical | Emergency Medicine | 4th Floor 1500 S. Main, Family Health Center Jps, Fort Worth, TX 76104 | 2014-04-23 |
| 1831533827 | J Mack Slaughter Jr. | Emergency Medicine | 5658 Full Moon Ct, Fort Worth, TX 76132-2533 | 2013-04-22 |
| 1952642043 | Innovative Emergency Physicians of Frisco P.a. | Emergency Medicine | 6300 Ridglea Place, Suite 201, Fort Worth, TX 76116-5707 | 2013-03-14 |
| 1376787606 | Apram Basra | Emergency Medicine | 900 Matisse Dr Apt 4001, Fort Worth, TX 76107-2483 | 2009-04-30 |
| 1255599767 | Rosalia Njeri Mbugua | Emergency Medicine | 1575 Main St, Fort Worth, TX 76104 | 2008-05-30 |
| 1215136510 | Ralph Fredrick Baine | Emergency Medicine | 6451 Brentwood Stair Road, Suite 200, Fort Worth, TX 76112 | 2007-07-16 |
| 1982805321 | Corey J. Mayfield | Emergency Medicine | 6451 Brentwood Stair Rd., #200, Fort Worth, TX 76112 | 2007-05-31 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76112 |
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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.