Active NPIIndividual provider

Mr. Brandon D Black, CRNA

Nurse Anesthetist, Certified Registered in Stoughton, Massachusetts

NPI Number1740509355
Practice location
255 Plain Drive, C/O Ma Anesthesia Corp., Stoughton, MA 02072
Fax
—
Last updated
February 13, 2015

Brandon D Black is a Nurse Anesthetist, Certified Registered based in Stoughton, MA. Brandon D Black practices in Stoughton, MA and has the professional credentials of CRNA. The NPI Number for Brandon D Black is 1740509355 and holds a License No. 2263659 (MA). The current practice location address for Brandon D Black is 255 Plain Drive, C/O Ma Anesthesia Corp., Stoughton, MA 02072 and can be reached out via phone at 617-523-7900.

Provider Profile Details

NPI Number
1740509355
Provider Name
Brandon D Black
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
255 Plain Drive, C/O Ma Anesthesia Corp., Stoughton, MA 02072
Phone Number
617-523-7900
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
May 21, 2010
Last Update Date
February 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 Plain Drive
C/O Ma Anesthesia Corp.
Stoughton, MA 02072
Zip
02072
Phone Number
617-523-7900
Stoughton, MA 02072Get directions →

Provider Business Mailing Address Details

Address
Po Box 372
Massachusetts Anesthesia Corp.
Stoughton, MA 02072
City
Stoughton
State
MA
Zip
02072
Phone Number
646-415-3838

License Information

License Number
2263659
License State
MA
Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Brandon D Black, CRNA?

The NPI number of Mr. Brandon D Black, CRNA is 1740509355. It was assigned on May 21, 2010 and is currently active in the NPPES registry.

What is the specialty of Mr. Brandon D Black, CRNA?

Mr. Brandon D Black, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in MA under license number 2263659.

Where does Mr. Brandon D Black, CRNA practice?

The practice location is 255 Plain Drive, C/O Ma Anesthesia Corp., Stoughton, MA 02072. The office can be reached at 617-523-7900 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740509355 directly on the NPPES registry website.

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