BRADLEY C BLACK MD - NPI 1356347884 - Ophthalmology in Jeffersonville, IN

Q: What is Bradley Black's NPI number?

The NPI number for Bradley Black is 1356347884. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is Bradley Black's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Black was last updated on May 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Bradley C Black Md NPPES

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

BRADLEY C BLACK MD (NPI 1356347884) is an individual ophthalmology provider in Jeffersonville, Indiana, licensed in Indiana (01027732A) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356347884

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameBRADLEY C BLACKCredential: MD

Location Address302 W 14TH ST, STE 100Jeffersonville, IN 47130-3751

Mailing Address302 W 14th St, Ste 100Jeffersonville, IN 47130-3751 · (812) 284-0660 · Fax (812) 284-3822

Phone(812) 284-0660

Fax(812) 284-3822

Sole ProprietorNo

Enumeration DateJune 21, 2005

Last NPPES UpdateMay 12, 2008

✔ NPI 1356347884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IN · 01027732A

Definition

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.

302 W 14TH ST, Jeffersonville, IN 47130

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Other Identifiers 17

Other351995025United Healthcare

Other351995025Sagamore

Medicaid100116130IN

Medicare UPIN244560AIN

Other351995025Humana

Other4114033First Health

Other918528Block Vision

Other690178First Health

Other1051940KY · Passport

Other4114033Aetna

Medicare UPIN180025728GA

Other000000042712Anthem

Other64755762KY · Unisys

Other245535PSiho

Medicare UPIN0685304KY

Other33654Ihn

Other351995025Cigna

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley C Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47130 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.