Bradford Thomas Black, MD is a medicare enrolled "Urology" physician in Alliance, Ohio. His current practice location is
885 S Sawburg Rd, Suite 105, Alliance, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 823-1112.
Bradford Thomas Black is licensed to practice in Ohio (license number 58282) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356326136.
Physician's Profile
| Full Name | Bradford Thomas Black |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 885 S Sawburg Rd, Alliance, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bradford Thomas Black attended and graduated from in
NPI Data:
- NPI Number: 1356326136
- Provider Enumeration Date: 12/14/2005
- Last Update Date: 05/12/2008
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Bradford Thomas Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356326136 | NPI | - | NPPES |
| 0738536 | Medicaid | OH | |
| 340012867 | Other | OH | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 58282 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradford Thomas Black is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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