Edward Black, M.D

NPI: 1003811209

Edward Black, M.D

Q: What is Edward Black's NPI number?

Edward Black's NPI number is 1003811209, a unique 10-digit identifier issued by CMS.

Q: What does Edward Black specialize in?

Edward Black specializes in Radiology, taxonomy code 2085R0202X.

Q: Where does Edward Black practice?

Edward Black practices in Charlotte, NC 28203-5800.

Q: When was Edward Black's NPI issued?

Edward Black's NPI was issued on June 15, 2005.

Q: What is Edward Black's provider type?

Edward Black is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderRadiology

NPI issued: June 15, 2005

Quick Facts

NPI Number

1003811209

TypeIndividual

StatusActive

SpecialtyRadiology

Taxonomy2085R0202X — Radiology

Phone

(704) 909-5960

StateNC

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1003811209)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (June 15, 2005)

Data source: CMS NPPES

Provider Overview

EDWARD BLACK, M.D is a Radiology provider based in Charlotte, NC who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1003811209

Provider TypeIndividual Provider

GenderMale

CredentialM.D

StatusActive

Enumeration DateJune 15, 2005

Practice Location

CityCharlotte

StateNC

ZIP Code28203-5800

Phone(704) 909-5960

Specialties & Licenses

★ Primary

SpecialtyRadiology

Taxonomy Code2085R0202X

License StateNC

Mailing Address

CityCharlotte

StateNC

ZIP Code28203-5800

Phone(704) 909-5960

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1003811209 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1003811209for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1003811209 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Radiology

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