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BRENT T. BLACK DDS
NPI 1144849365
Dentist - Oral and Maxillofacial Surgery in College Station, TX

Active since April 09, 2020PECOS EnrolledAccepts Medicare Assignment
1505 EMERALD PLZ, COLLEGE STATION, TX 77845(979) 764-7101 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, Apr 9, 2020 (2 updates tracked since 2020).

About Brent T. Black Dds NPPES

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

BRENT T. BLACK DDS (NPI 1144849365) is an individual oral and maxillofacial surgery provider in College Station, Texas, licensed in Texas (36416) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1144849365
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameBRENT T. BLACKCredential: DDS
Location Address1505 EMERALD PLZCollege Station, TX 77845-1501
Mailing Address1505 Emerald PlzCollege Station, TX 77845-1501 · (979) 764-7101
Phone(979) 764-7101
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 9, 2020
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1144849365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 36416
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1505 EMERALD PLZ, College Station, TX 77845
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Guardian.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brent T. Black Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103361555
PECOS Enrollment IDI20240710003319
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

DR. CHARLES CALVIN HANLEY D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1505 EMERALD PLZ
COLLEGE STATION, TX 77845
Brazos County (979) 764-7101
DR. JAMES BRYAN GARRETT DDS MD
Dentist (Oral and Maxillofacial Surgery)
1505 EMERALD PLZ
COLLEGE STATION, TX 77845
Brazos County (979) 764-7101
DR. BRANDON COLT CLYBURN D.D.S.
Oral & Maxillofacial Surgery
1505 EMERALD PLZ
COLLEGE STATION, TX 77845
Brazos County (979) 764-7101
DR. GARRETT BLUNDELL D.D.S., M.D.
Dentist (Oral and Maxillofacial Surgery)
1505 EMERALD PLZ
COLLEGE STATION, TX 77845
Brazos County (979) 764-7101

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 Brent Black's NPI number?

The NPI number for Brent Black is 1144849365. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Brent Black located?

Brent Black practices at 1505 Emerald Plz, College Station, TX 77845. The listed phone number is (979) 764-7101.

What is Brent Black's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Brent Black enrolled in Medicare?

Yes. Brent Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brent Black accept?

Health plans from Guardian list Brent Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brent Black was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.