EDWARD BARNWELL BLACK M.D.
NPI 1003811209
Radiology - Diagnostic Radiology in Charlotte, NC

Active since June 15, 2005
1705 EAST BLVD, CHARLOTTE, NC 28203(704) 909-5960(704) 770-0501 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward Barnwell Black M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD BARNWELL BLACK M.D. (NPI 1003811209) is an individual diagnostic radiology provider in Charlotte, North Carolina, licensed in North Carolina (22677) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1003811209
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameEDWARD BARNWELL BLACKCredential: M.D.
Location Address1705 EAST BLVDCharlotte, NC 28203-5800
Mailing Address1705 East BlvdCharlotte, NC 28203-5800 · (704) 909-5960 · Fax (704) 770-0501
Fax(704) 770-0501
Sole ProprietorNo
Enumeration DateJune 15, 2005
Last NPPES UpdateMay 28, 2014
NPI 1003811209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NC · 22677
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1705 EAST BLVD, Charlotte, NC 28203

Other Identifiers 2

Medicaid7915850NC
Medicare PIN211971ANC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
1705 EAST BLVD, SUITE 116
CHARLOTTE, NC 28203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Black's NPI number?

The NPI number for Edward Black is 1003811209. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Edward Black located?

Edward Black practices at 1705 East Blvd, Charlotte, NC 28203. The listed phone number is (704) 909-5960.

What is Edward Black's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Edward Black was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.