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NPI Verification

National Provider Identifier: 1730199290

Bruce T Black, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

401 BAPTIST DR

SUITE 104

MADISON, MS 391102009

Phone: 601-605-3858

NPI Enumeration Date

August 8, 2006

NPI Number

1730199290

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