Organization Active NPI

James a. Black, M.D.

  • Neurology Physician
  • Austin, TX
National Provider Identifier
1508045352
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D9946 Issued in TX
Legal business name
JAMES A. BLACK, M.D.
Practice address
4007 James Casey St
Suite C110
Austin, TX 78745-3369
Phone
(512) 707-8100
Fax
(512) 707-8101
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
James A. Black, M.D.
Title
Doctor
Phone
(512) 707-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X D9946 TX Primary

Addresses

Primary practice location

4007 James Casey St
Suite C110
Austin, TX 78745-3369

Mailing address

4007 James Casey St
Suite C110
Austin, TX 78745-3369
Phone (512) 707-8100

Other identifiers 1

IdentifierTypeStateIssuer
0010PAOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

4007 James Casey St
Ste C110
Austin, TX 78745
Phone (512) 444-1811

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1508045352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 JAMES CASEY ST",
            "address_2": "SUITE C110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453369",
            "telephone_number": "512-707-8100",
            "fax_number": "512-707-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 JAMES CASEY ST",
            "address_2": "SUITE C110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453369",
            "telephone_number": "512-707-8100",
            "fax_number": "512-707-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A. BLACK, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "512-707-8100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "D9946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0010PA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.