EDWARD BARNWELL BLACK M.D. NPI 1003811209

NPI Information

  • NPI: 1003811209
  • Provider Name: EDWARD BARNWELL BLACK, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 1705 EAST BLVD
    CHARLOTTE, NC
    ZIP 28203
  • Phone: (704) 909-5960

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NPI Details

Edward Barnwell Black, M.D. is a diagnostic radiology radiology in Charlotte, NC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Edward Barnwell Black, M.D. NPI is 1003811209. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1705 EAST BLVD
CHARLOTTE, NC
ZIP 28203-800
Phone: (704) 909-5960
Fax: (704) 770-0501

The enumeration date for this NPI number is 6/15/2005 and was last updated on 5/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology22677NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17915850MEDICAIDNORTH CAROLINA
2211971AMEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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