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BRENDAN JAMES BLACK DO
NPI 1700646411
Student in an Organized Health Care Education/Training Program in Nashville, TN

Active since March 20, 2024PECOS Enrolled
3443 DICKERSON PIKE STE 230, NASHVILLE, TN 37207(615) 769-2158 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brendan James Black Do NPPES

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

BRENDAN JAMES BLACK DO (NPI 1700646411) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700646411
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRENDAN JAMES BLACKCredential: DO
Location Address3443 DICKERSON PIKE STE 230Nashville, TN 37207-2522
Mailing Address3443 Dickerson Pike Ste 230Nashville, TN 37207-2522 · (615) 769-2158
Phone(615) 769-2158
Sole ProprietorNo
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1700646411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3443 DICKERSON PIKE STE 230, Nashville, TN 37207
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brendan James Black Do 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.

Other Providers at the Same Location NPPES 12

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

OMAR JAFRY DO
Student in an Organized Health Care Education/Training Program
3443 DICKERSON PIKE STE 230
NASHVILLE, TN 37207
Davidson County (629) 277-1060
WILLIAM MICHAEL BROWN
Student in an Organized Health Care Education/Training Program
3443 DICKERSON PIKE STE 230
NASHVILLE, TN 37207
Davidson County (615) 769-2158
DR. ROHAN REDDY TUMMALA MD
Student in an Organized Health Care Education/Training Program
3443 DICKERSON PIKE STE 230
NASHVILLE, TN 37207
Davidson County (615) 769-2159
IAN CONROY PARKER MD
Student in an Organized Health Care Education/Training Program
3443 DICKERSON PIKE STE 230
NASHVILLE, TN 37207
Davidson County (612) 769-2158
JESSICA AMBER WINCHELL MD
Student in an Organized Health Care Education/Training Program
3443 DICKERSON PIKE STE 230
NASHVILLE, TN 37207
Davidson County (615) 769-2159
TRAVIS STUART ALLEN MD
Student in an Organized Health Care Education/Training Program
3443 DICKERSON PIKE STE 230
NASHVILLE, TN 37207
Davidson County (615) 769-2000
AIMEE ALEXANDER DO
Student in an Organized Health Care Education/Training Program
3443 DICKERSON PIKE STE 230
NASHVILLE, TN 37207
Davidson County (629) 285-5313
NICHOLAS CAPUTO DO
Student in an Organized Health Care Education/Training Program
3443 DICKERSON PIKE STE 230
NASHVILLE, TN 37207
Davidson County (615) 769-2159

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 Brendan Black's NPI number?

The NPI number for Brendan Black is 1700646411. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Brendan Black located?

Brendan Black practices at 3443 Dickerson Pike Ste 230, Nashville, TN 37207. The listed phone number is (615) 769-2158.

What is Brendan Black's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brendan Black enrolled in Medicare?

Yes. Brendan Black is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brendan Black was last updated on March 20, 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.