Carole Bertozzi Black, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

45826 Issued in MA

Practice address

Navigant Consulting
101 E. Kennedy Blvd., Suite 2200
Tampa, FL 33602

Phone

(617) 312-8834

NPI assigned

Oct 23, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1225227481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 WABAN HILL RD N",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024671054",
            "telephone_number": "617-312-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAVIGANT CONSULTING",
            "address_2": "101 E. KENNEDY BLVD., SUITE 2200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33602",
            "telephone_number": "617-312-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "CAROLE BERTOZZI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "45826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Paige Blachura, MSW
• Black Mental Health Tampa Bay LLC
• Ashley Myra Black, RBT
• Brian Black
• Bryanna-Jade Black, BEHAVIOR TECHNICIAN
• Dalles Raydell Black
• Gregory Black, MD
• Jennifer Black, IBCLC
• Jennilee Harriet Black
• Katie Rene Black, RD

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.