DR. BRENT D BLACK MD
NPI 1710927835
Internal Medicine in Port Charlotte, FL

Q: What is Brent Black's NPI number?

The NPI number for Brent Black is 1710927835. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Brent Black's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Brent Black was last updated on September 3, 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.

Active since June 07, 2006PECOS Enrolled

2525 HARBOR BLVD, 104, PORT CHARLOTTE, FL 33952(941) 629-5757(941) 629-7404 Get Directions Write a Review

NPPES record last updated: September 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2019, Feb 14, 2017 (2 updates tracked since 2017).

On this page

About Dr. Brent D Black Md NPPES

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

DR. BRENT D BLACK MD (NPI 1710927835) is an individual internal medicine provider in Port Charlotte, Florida, licensed in Florida (ME66098) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710927835

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. BRENT D BLACKCredential: MD

Location Address2525 HARBOR BLVD, 104Port Charlotte, FL 33952-5317

Mailing Address2675 Winkler Ave, Fl 2Fort Myers, FL 33901-9342 · (877) 856-3774

Phone(941) 629-5757

Fax(941) 629-7404

Sole ProprietorNo

Enumeration DateJune 7, 2006

Last NPPES UpdateSeptember 3, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2021

✔ NPI 1710927835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME66098

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2525 HARBOR BLVD, Port Charlotte, FL 33952

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brent D 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 33952 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

27 suppliers86 claims227 services$6.12 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

5 suppliers14 claims14 services$2.71 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

13 suppliers42 claims56 services$1.10 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

1 supplier16 claims16 services$34.91 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

2 suppliers12 claims72 services$16.43 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

2 suppliers12 claims12 services$52.68 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SAMANTHA JEAN M.D.

Family Medicine

2525 HARBOR BLVD, SUITE 308
PORT CHARLOTTE, FL 33952

Charlotte County (419) 629-7777

MICHAEL JAMES LAWSON ARNP

Nurse Practitioner

2525 HARBOR BLVD, SUITE 102
PORT CHARLOTTE, FL 33952

Charlotte County (941) 629-9190

LUIS GERARDO MARMOL M.D.

Otolaryngology

2525 HARBOR BLVD, SUITE # 303
PORT CHARLOTTE, FL 33952

Charlotte County (941) 235-1901

MEDICAL PAVILION CLINC

Preferred Provider Organization

2525 HARBOR BLVD, SUITE 102
PORT CHARLOTTE, FL 33952

Charlotte County (941) 629-9190

STEPHEN PETROFSKY DPM PA

Durable Medical Equipment & Medical Supplies

2525 HARBOR BLVD, SUITE 206
PT CHARLOTTE, FL 33952

Charlotte County (941) 625-3330

DAVID S BALLESTAS MD PA

Specialist

2525 HARBOR BLVD, SUITE 102
PORT CHARLOTTE, FL 33952

Charlotte County (941) 629-7593

DR. ANTONIO LABITAG GABARDA M.D.

Internal Medicine (Hematology & Oncology)

2525 HARBOR BLVD, SUITE 205
PORT CHARLOTTE, FL 33952

Charlotte County (941) 629-4660

DR. JEROME B COHEN MD

Internal Medicine

2525 HARBOR BLVD, 104
PORT CHARLOTTE, FL 33952

Charlotte County (941) 629-5757

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 1710927835. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Brent Black located?

Brent Black practices at 2525 Harbor Blvd 104, Port Charlotte, FL 33952. The listed phone number is (941) 629-5757.

What is Brent Black's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brent Black enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Brent Black was last updated on September 3, 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.