Active NPI
James a. Black, M.D.
- Neurology Physician
- Austin, TX
National Provider Identifier
1508045352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- D9946
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010PA | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.