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SUZANNE D BLACK M.D.
NPI 1720082167
Family Medicine in Bryan, TX

Active since June 13, 2005PECOS Enrolled
2714 OSLER BLVD, BRYAN, TX 77802(979) 776-7788(797) 776-0848 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suzanne D Black M.d. NPPES

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

SUZANNE D BLACK M.D. (NPI 1720082167) is an individual family medicine provider in Bryan, Texas, licensed in Texas (H2250) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720082167
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUZANNE D BLACKCredential: M.D.
Location Address2714 OSLER BLVDBryan, TX 77802-2517
Mailing Address2714 Osler BlvdBryan, TX 77802-2517 · (979) 776-7788 · Fax (797) 776-0848
Phone(979) 776-7788
Fax(797) 776-0848
Sole ProprietorYes
Enumeration DateJune 13, 2005
Last NPPES UpdateNovember 19, 2014
✔ NPI 1720082167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · H2250
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2714 OSLER BLVD, Bryan, TX 77802
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Other Identifiers 4

Other00T34FTX · Medicare
Medicaid133493007TX
Medicare UPINF76001TX
Medicaid133493001TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suzanne D Black M.d. 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 77802 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 2

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

EMERELLI, PLLC
Physical Therapist
2714 OSLER BLVD
BRYAN, TX 77802
Brazos County (979) 776-2225
TYLER WILSON
Physical Therapist
2714 OSLER BLVD
BRYAN, TX 77802
Brazos County (979) 776-2225

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 Suzanne Black's NPI number?

The NPI number for Suzanne Black is 1720082167. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Suzanne Black located?

Suzanne Black practices at 2714 Osler Blvd, Bryan, TX 77802. The listed phone number is (979) 776-7788.

What is Suzanne Black's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Suzanne Black enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Suzanne Black was last updated on November 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.