ERIC BLACK IDMT
NPI 1558025429
Military Health Care Provider - Independent Duty Medical Technicians in Shaw Afb, SC

Active since October 27, 2021
431 MEADOWLARK ST, SHAW AFB, SC 29152(803) 895-2273 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eric Black Idmt NPPES

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

ERIC BLACK IDMT (NPI 1558025429) is an individual independent duty medical technicians provider in Shaw Afb, South Carolina and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1558025429
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameERIC BLACKCredential: IDMT
Location Address431 MEADOWLARK STShaw Afb, SC 29152-5019
Mailing Address431 Meadowlark StShaw Afb, SC 29152-5019 · (803) 895-2273
Sole ProprietorNo
Enumeration DateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
NPI 1558025429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
431 MEADOWLARK ST, Shaw Afb, SC 29152

Other Providers at the Same Location NPPES 20

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

Dentist
431 MEADOWLARK ST
SHAW AFB, SC 29152
Military Health Care Provider (Independent Duty Medical Technicians)
431 MEADOWLARK ST
SHAW A F B, SC 29152
Registered Nurse
431 MEADOWLARK ST
SHAW AFB, SC 29152
Social Worker (Clinical)
431 MEADOWLARK ST
SHAW AFB, SC 29152
Nurse Practitioner (Women's Health)
431 MEADOWLARK ST
SHAW A F B, SC 29152
Psychologist (Clinical)
431 MEADOWLARK ST
SHAW AFB, SC 29152
Pharmacist
431 MEADOWLARK ST
SHAW A F B, SC 29152
Physician Assistant
431 MEADOWLARK ST
SHAW AFB, SC 29152

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 Eric Black's NPI number?

The NPI number for Eric Black is 1558025429. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Where is Eric Black located?

Eric Black practices at 431 Meadowlark St, Shaw Afb, SC 29152. The listed phone number is (803) 895-2273.

What is Eric Black's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Eric Black was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.