Bruce C Black, MD
Psychiatry & Neurology, Child & Adolescent Psychiatry in Wellesley, Massachusetts
1770595217- Practice location
- 372 Washington St, Wellesley, MA 02481-6202
- Phone
- 781-239-3550
- Fax
- 781-239-3272
- Last updated
- January 15, 2010
Bruce Charles Black is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Wellesley, MA. Bruce Charles Black practices in Wellesley, MA and has the professional credentials of MD. The NPI Number for Bruce Charles Black is 1770595217 and holds a License No. 53793 (MA). The current practice location address for Bruce Charles Black is 372 Washington St, Wellesley, MA 02481-6202 and can be reached out via phone at 781-239-3550 and via fax at 781-239-3272.
Provider Profile Details
- NPI Number
- 1770595217
- Provider Name
- Bruce Charles Black
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 372 Washington St, Wellesley, MA 02481-6202
- Phone Number
- 781-239-3550
- Fax Number
- 781-239-3272
- Primary Taxonomy
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 13, 2006
- Last Update Date
- January 15, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 372 Washington St
Wellesley, MA 02481-6202 - City
- Wellesley
- State
- Massachusetts
- Zip
- 02481-6202
- Phone Number
- 781-239-3550
- Fax Number
- 781-239-3272
Provider Business Mailing Address Details
- Address
- 372 Washington St
Wellesley, MA 02481-6202 - City
- Wellesley
- State
- MA
- Zip
- 02481-6202
- Phone Number
- 781-239-3550
- Fax Number
- 781-239-3272
License Information
- License Number (1)
- 53793
- License State (1)
- MA
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (2)
- 53793
- License State (2)
- MA
- Taxonomy (2)
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Bruce C Black, MD?
The NPI number of Bruce C Black, MD is 1770595217. It was assigned on August 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Bruce C Black, MD?
Bruce C Black, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in MA under license number 53793.
Where does Bruce C Black, MD practice?
The practice location is 372 Washington St, Wellesley, MA 02481-6202. The office can be reached at 781-239-3550 (phone) or 781-239-3272 (fax).
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 1770595217 directly on the NPPES registry website.