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DR. BRIAN SCOTT BLACK D.D.S.
NPI 1891015996
Dentist - General Practice in College Station, TX

Active since June 11, 2010PECOS Enrolled
219 ROCK PRAIRIE RD, STE. 100, COLLEGE STATION, TX 77845(979) 695-8000(979) 314-9702 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Brian Scott Black D.d.s. NPPES

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

DR. BRIAN SCOTT BLACK D.D.S. (NPI 1891015996) is an individual general practice provider in College Station, Texas, licensed in Texas (25509) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891015996
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRIAN SCOTT BLACKCredential: D.D.S.
Location Address219 ROCK PRAIRIE RD, STE. 100College Station, TX 77845-8796
Mailing AddressPo Box 95Hempstead, TX 77445-0095 · (832) 675-1242
Phone(979) 695-8000
Fax(979) 314-9702
Sole ProprietorYes
Enumeration DateJune 11, 2010
Last NPPES UpdateFebruary 26, 2016
✔ NPI 1891015996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 25509
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

219 ROCK PRAIRIE RD, College Station, TX 77845
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Brian Scott Black D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 4, 2016 through March 4, 2026.

Opt-Out Effective DateMarch 4, 2016
Opt-Out In Effect ThroughMarch 4, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77845 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Frequently Asked Questions

What is Brian Black's NPI number?

The NPI number assigned to this healthcare provider is 1891015996, enumerated as an "individual" on June 11, 2010.

Where is the provider located?

The provider is located at 219 ROCK PRAIRIE RD STE. 100 COLLEGE STATION, TX 77845 and the phone number is (979) 695-8000.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.