BRADFORD THOMAS BLACK (NPI# 1356326136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356326136 |
| Entity Type | Individual |
| Full Name | BRADFORD THOMAS BLACK |
| Credential | MD |
| Practice Address |
885 S Sawburg Rd Suite 105 Alliance OH 44601-5905 |
| Mailing Address |
2777 Carrington St Nw North Canton OH 44720-8163 |
| Practice Telephone | 3308231112 |
| Practice Fax Number | 3308231139 |
| Mailing Telephone | 3302440515 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2008-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 58282 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE RAILROAD | 340012867 | 01 |
| OH | 0738536 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710912951 | Bradford T Black | Orthopaedic Surgery | 1508 Division St, Suite 105, Oregon City, OR 97045-1582 | 2006-07-12 |
| Street Address |
885 S SAWBURG RD SUITE 105 |
| City | ALLIANCE |
| State | OH |
| Zip Code | 44601-5905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345300 | Ferdinando Cortese | Internal Medicine | 885 S Sawburg Rd, Ste 110, Alliance, OH 44601-5905 | 2005-06-08 |
| 1851515993 | Northeastern Ohio Urological Surgeons, Inc. | Urology | 885 S Sawburg Rd, Alliance, OH 44601-5905 | 2007-04-12 |
| 1629032941 | Dva Renal Healthcare, Inc | Clinic/Center | 885 S Sawburg Rd, Ste 103, Alliance, OH 44601-5905 | 2006-04-13 |
| 1679557011 | Michael Joseph Scolieri | Urology | 885 S Sawburg Rd, Ste 105, Alliance, OH 44601-5905 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123149 | Yuna Farah Minosky | Student in an Organized Health Care Education/Training Program | Aultman Alliance Community Hospital, 200 E State St, Alliance, OH 44601 | 2020-04-17 |
| 1386271591 | Easterday Pharmacy LLC | Pharmacy | 1696 S. Arch Ave, Alliance, OH 44601 | 2020-03-26 |
| 1184250185 | Alliance Counseling Services LLC | Social Worker | 2011 Glamorgan St., Suite B, Alliance, OH 44601 | 2020-03-21 |
| 1275175085 | Jennifier Le Wassem | Licensed Practical Nurse | 200 E State St 3rd Floor, Alliance, OH 44601 | 2019-10-14 |
| 1386135200 | Shaleka Mercedes Cameron | Nurse's Aide | 1314 Johnson Ave Apt C, Alliance, OH 44601 | 2018-05-26 |
| 1902315450 | Jordan Taylor Simpson | Student in an Organized Health Care Education/Training Program | 1972 Clark Ave., Alliance, OH 44601 | 2017-09-27 |
| 1750800918 | Roni Host | Counselor | 11800 Sioux Sve Ne, Alliance, OH 44601 | 2017-09-19 |
| 1639696172 | Danbury Woods Alliance | Assisted Living Facility | 1280 S. Sawburg Rd., Alliance, OH 44601 | 2017-08-25 |
| 1982121869 | Alexandra Nicole Sauter | Specialist/Technologist | 1972 Clark Avenue, Alliance, OH 44601 | 2017-08-23 |
| 1639606619 | David Mathew Bishop | Podiatrist | 200 East State St, Alliance Community Hospital, Alliance, OH 44601 | 2017-05-22 |
| Find all providers in zip 44601 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982113197 | Alliance and Salem Urology LLC | Urology | 885 S Sawburg Ave Ste 105, Alliance, OH 44601-5905 | 2017-09-20 |
| 1851515993 | Northeastern Ohio Urological Surgeons, Inc. | Urology | 885 S Sawburg Rd, Alliance, OH 44601-5905 | 2007-04-12 |
| 1679557011 | Michael Joseph Scolieri | Urology | 885 S Sawburg Rd, Ste 105, Alliance, OH 44601-5905 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699237909 | Tri State Urologic Services Psc Inc | Urology | 2123 Auburn Ave Ste 434, Cincinnati, OH 45219-2906 | 2019-04-04 |
| 1073075578 | Tri State Urologic Services Psc Inc | Urology | 7529 State Rd Ste B, Cincinnati, OH 45255-6410 | 2019-04-03 |
| 1023597143 | Rajiva Ranjan Singh | Urology | 3737 Southern Blvd., Suite 4200, Kettering, OH 45429-1262 | 2018-08-09 |
| 1194232876 | Nathan Ying-ho Hoy | Urology | 9500 Euclid Ave, Q10, Cleveland, OH 44195 | 2018-01-04 |
| 1447788468 | Robin Ann Houk | Urology | 95 Arch St Ste 165, Akron, OH 44304-1488 | 2017-06-03 |
| 1598216152 | Kings Daughters Medical Specialties Inc. | Urology | 1729 Kinneys Ln Ste 103, Portsmouth, OH 45662-3166 | 2016-10-19 |
| 1093162463 | Wmc Physician Practices LLC | Urology | 4100 Johnson Rd Ste 200, Steubenville, OH 43952-2372 | 2016-05-16 |
| 1154783223 | Wmc Physician Practices LLC | Urology | 251 E Market Street, Cadiz, OH 43907 | 2016-03-28 |
| 1144607508 | Johnathan Doolittle | Urology | 2050 E 96th St Q Building, Cleveland, OH 44195-3548 | 2015-05-05 |
| 1073932091 | Eric Jacob Fichtenbaum | Urology | 500 E Main St Ste 220, Columbus, OH 43215-5369 | 2014-04-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.