HomeNPI Verification

NPI Verification

National Provider Identifier: 1114379872

Julia L Black, DO

Individual Provider

Credentials

Primary Specialty

Family Medicine, Sports Medicine

Code: 207QS0010X

All Specialties (5)

Family Medicine

Code: 207Q00000X

Family Medicine

Code: 207Q00000X

Family Medicine, Sports Medicine

Code: 207QS0010X

Family Medicine, Sports Medicine

Code: 207QS0010X

Family Medicine, Sports Medicine

Code: 207QS0010X

Primary

Practice Address

2725 S 144TH ST STE 212

OMAHA, NE 681445253

Phone: 402-637-0800

NPI Enumeration Date

July 6, 2016

NPI Number

1114379872

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry