MR. DEMONTERRYO L BLACK SR. DO
NPI 1194392910
Home Health Aide in Windsor, WI

Q: What is Demonterryo Black's NPI number?

The NPI number for Demonterryo Black is 1194392910. It was assigned to this individual provider in the NPPES registry on June 9, 2021. The provider is also known as Ms. Shelby J Bremer Do.

Q: What is Demonterryo Black's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

Q: When was this NPI record last updated?

The NPPES record for Demonterryo Black was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 09, 2021

6652 N TOWNE RD APT 121, WINDSOR, WI 53598(608) 906-4343 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2021, Jun 9, 2021 (2 updates tracked since 2021).

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About Mr. Demonterryo L Black Sr. Do NPPES

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

MR. DEMONTERRYO L BLACK SR. DO (NPI 1194392910) is an individual home health aide in Windsor, Wisconsin and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1194392910

Entity TypeIndividualMale

Primary Taxonomy374U00000X

Provider Legal NameMR. DEMONTERRYO L BLACK SR.Credential: DO

Location Address6652 N TOWNE RD APT 121Windsor, WI 53598-9130

Mailing Address1173 Okeeffe AveSun Prairie, WI 53590-4236 · (608) 906-4343

Phone(608) 906-4343

Sole ProprietorNo

Enumeration DateJune 9, 2021

Last NPPES UpdateJune 17, 20212 updates tracked since enumeration

NPPES CertifiedJune 17, 2021

✔ NPI 1194392910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers

Taxonomy Code374U00000X

Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

6652 N TOWNE RD APT 121, Windsor, WI 53598

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Other Names 1

Other Name (5)Ms. Shelby J Bremer Do

Other Providers at the Same Location NPPES

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

HEALING HANDS ADULT FAMILY HOMES

Technician (Attendant Care Provider)

6652 N TOWNE RD APT 121
WINDSOR, WI 53598

Dane County (608) 906-4343

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 Demonterryo Black's NPI number?

The NPI number for Demonterryo Black is 1194392910. It was assigned to this individual provider in the NPPES registry on June 9, 2021. The provider is also known as Ms. Shelby J Bremer Do.

Where is Demonterryo Black located?

Demonterryo Black practices at 6652 N Towne Rd Apt 121, Windsor, WI 53598. The listed phone number is (608) 906-4343.

What is Demonterryo Black's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Demonterryo Black was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.