William R Black, M.D.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

19313 Issued in NC

Practice address

825 W Henderson St
Salisbury, NC 28144-2725

Phone

(704) 636-5542

Fax

(704) 636-5142

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1922006485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W HENDERSON ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442725",
            "telephone_number": "704-636-5542",
            "fax_number": "704-636-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W HENDERSON ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281442725",
            "telephone_number": "704-636-5542",
            "fax_number": "704-636-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NC",
            "license": "19313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "15968",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "408113860",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8915968",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• William J Birmingham, M.D.
• Wilbert Worth Blackman, DDS
• Leane Blais
• Mandy Blake, PNP
• Heidi Yasmene Blaylock, FNP-C, ANP
• Blessing Hands in-Home Aide Services, LLC

• Medical Oncology Physician in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Medical Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.