DR. BRENTON L BLACK


Address: 550 Peachtree St Ne Fl 7, Atlanta, GA 30308-2247
Phone: 4046868181

DR. BRENTON L BLACK (NPI# 1952515595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952515595
Entity Type Individual
Full Name DR. BRENTON L BLACK
Credential MD
Practice Address 550 Peachtree St Ne Fl 7
Atlanta
GA 30308-2247
Practice Telephone 4046868181
Practice Fax Number 4046865905
Mailing Telephone 4046868181
Mailing Fax Number 4046865905
Enumeration Date 2007-05-10
Last Update Date 2012-10-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 059126 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 550 PEACHTREE ST NE FL 7
City ATLANTA
State GA
Zip Code 30308-2247

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386655223 Tahsin Masud Internal Medicine 550 Peachtree St Ne Fl 7, Emory Crawford Long Mot - Nephrology, Atlanta, GA 30308-2247 2006-08-09
1417337320 Margaret Ann Riso Anesthesiology 550 Peachtree St Ne Fl 7, Atlanta, GA 30308-2212 2015-06-05
1770914533 Colin Johnson Physician Assistant 550 Peachtree St Ne Fl 7, Atlanta, GA 30308-2212 2013-12-04
1952312837 Jose E Navarrete Internal Medicine 550 Peachtree St Ne Fl 7, Emory Crawford Long Mot - Nephrology, Atlanta, GA 30308-2247 2006-08-10
1770594590 Anees Quyyumi Internal Medicine 550 Peachtree St Ne Fl 7, Emory Crawford Long Mot - Nephrology, Atlanta, GA 30308-2247 2006-08-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689285165 Grace Mckinnon Cutchin Speech-Language Pathologist 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 2020-08-10
1063033942 Life University Chiropractor 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 2020-05-01
1184254591 Jordan Cohen Specialist 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 2020-01-24
1104463819 Gary Sydney Koech IIi Registered Nurse Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 2019-12-02
1639728207 Shannon Oliver Sullivan Counselor 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 2019-09-06
1477110187 Ariel Alibey Preventive Medicine 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 2019-05-29
1972075497 Laura Mcrae Nurse Practitioner Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 2018-12-21
1265902134 Kyle Brooks Kraft Nurse Practitioner 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 2018-12-04
1396211025 Vita Judkins Pharmacist 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 2018-10-20
1407345911 Caitlin Cundiff Anesthesiology 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 2018-05-09
Find all providers in zip 30308

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902407752 Neighbormd of Atlanta LLC Internal Medicine 285 Boulevard Ne Ste 435&436, Atlanta, GA 30312-4205 2020-11-06
1053912907 Neighbormd of North Atlanta LLC Internal Medicine 1800 Peachtree St Nw Ste 730nw, Atlanta, GA 30309-2519 2020-11-06
1285235036 Neighbormd of South Atlanta LLC Internal Medicine 3885 Princeton Lakes Way Sw Ste 412, Atlanta, GA 30331-5599 2020-11-06
1679137657 Internal Medicine Consulting Services Internal Medicine 3365 Piedmont Rd Ne Ste 1400, Atlanta, GA 30305-1795 2019-04-25
1144788142 Jaytyn LLC Internal Medicine 4600 Broswell Road, Atlanta, GA 30342 2019-03-08
1326527144 Vergena Montgomery Clark Internal Medicine 3142 Esplanade Cir Sw, Atlanta, GA 30311-4221 2018-08-13
1790299071 Jay Leonard Lichtenfeld Internal Medicine 1711 E Clifton Rd Ne, Atlanta, GA 30307-1247 2017-11-26
1558872432 Qcpi-villagemd, PC Internal Medicine 3445 Peachtree Rd Ne Ste 1200, Atlanta, GA 30326-3251 2017-10-18
1033640115 Christopher Massad Internal Medicine 1364 Clifton Rd Ne Ste H-153, Atlanta, GA 30322-1059 2017-03-21
1114377025 Atlanta Clinical Research Centers LLC Internal Medicine 5673 Peachtree Dunwoody Rd Ste 440, Atlanta, GA 30342-1797 2016-06-21
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City ATLANTA
Zip Code 30308

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Dataset Information

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.

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