Bradford Thomas Black, MD | |
885 S Sawburg Rd, Suite 105, Alliance, OH 44601-5905 | |
(330) 823-1112 | |
(330) 823-1139 |
Full Name | Bradford Thomas Black |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 40 Years |
Location | 885 S Sawburg Rd, Alliance, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356326136 | NPI | - | NPPES |
0738536 | Medicaid | OH | |
340012867 | Other | OH | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 58282 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Medical Center | Canton, OH | Hospital |
Alliance Community Hospital | Alliance, OH | Hospital |
Akron General Medical Center | Akron, OH | Hospital |
Salem Regional Medical Center | Salem, OH | Hospital |
Union Hospital | Dover, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cleveland Clinic Foundation | 1850203555 | 5690 |
Entity Name | The Cleveland Clinic Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
Entity Name | Alliance And Salem Urology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982113197 PECOS PAC ID: 6901167568 Enrollment ID: O20180223001158 |
Mailing Address | Practice Location Address |
---|---|
Bradford Thomas Black, MD 2777 Carrington St Nw, North Canton, OH 44720-8163 Ph: (330) 244-0515 | Bradford Thomas Black, MD 885 S Sawburg Rd, Suite 105, Alliance, OH 44601-5905 Ph: (330) 823-1112 |
Michael Joseph Scolieri, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 885 S Sawburg Rd, Ste 105, Alliance, OH 44601 Phone: 330-823-1112 Fax: 330-823-1139 |