- Practice location
- 1460 NE Medical Center Dr, Bend, OR 97701-6061
- Phone
- 541-382-6633
- Fax
- 541-383-4577
- Last updated
- July 9, 2026
Michelle T Black is a Radiology, Diagnostic Radiology based in Bend, OR. Michelle T Black practices in Bend, OR and has the professional credentials of MD. The NPI Number for Michelle T Black is 1972739001 and holds a License No. 113466 (CA). The current practice location address for Michelle T Black is 1460 NE Medical Center Dr, Bend, OR 97701-6061 and can be reached out via phone at 541-382-6633 and via fax at 541-383-4577.
Provider Profile Details
- NPI Number
- 1972739001
- Provider Name
- Michelle T Black
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1460 NE Medical Center Dr, Bend, OR 97701-6061
- Phone Number
- 541-382-6633
- Fax Number
- 541-383-4577
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 3, 2009
- Last Update Date
- July 9, 2026
- Certification Date
- July 9, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1460 NE Medical Center Dr
Bend, OR 97701-6061 - City
- Bend
- State
- Oregon
- Zip
- 97701-6061
- Phone Number
- 541-382-6633
- Fax Number
- 541-383-4577
Provider Business Mailing Address Details
- Address
- 1460 NE Medical Center Dr
Bend, OR 97701-6061 - City
- Bend
- State
- OR
- Zip
- 97701-6061
- Phone Number
- 541-382-6633
- Fax Number
- 541-383-4577
License Information
- License Number (1)
- 113466
- License State (1)
- CA
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
- License Number (2)
- MD18981
- License State (2)
- HI
- Taxonomy (2)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (3)
- 57945
- License State (3)
- CO
- Taxonomy (3)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (4)
- MD226250
- License State (4)
- OR
- Taxonomy (4)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (5)
- 04-39604
- License State (5)
- KS
- Taxonomy (5)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (6)
- 29776
- License State (6)
- NE
- Taxonomy (6)
- Radiology, Diagnostic Radiology · 2085R0202X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Radiology, Diagnostic Radiology providers near Bend, OR
View all Radiology, Diagnostic Radiology providers in Bend →- Cascade Medical Imaging LLCRadiology, Diagnostic Radiology · NPI 1669244497
- Cascade Medical Imaging LLCRadiology, Diagnostic Radiology · NPI 1932621588
- Cascade Medical Imaging LLCRadiology, Diagnostic Radiology · NPI 1396790499
- Cascade Medical Imaging LLCRadiology, Diagnostic Radiology · NPI 1760253975
- Cascade Medical Imaging LLCRadiology, Diagnostic Radiology · NPI 1194994145
- Central Oregon Magnetic Resonance Imaging LLCRadiology, Diagnostic Radiology · NPI 1154599579
Frequently Asked Questions
What is the NPI number of Michelle T Black, MD?
The NPI number of Michelle T Black, MD is 1972739001. It was assigned on June 3, 2009 and is currently active in the NPPES registry.
What is the specialty of Michelle T Black, MD?
Michelle T Black, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in CA under license number 113466.
Where does Michelle T Black, MD practice?
The practice location is 1460 NE Medical Center Dr, Bend, OR 97701-6061. The office can be reached at 541-382-6633 (phone) or 541-383-4577 (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 1972739001 directly on the NPPES registry website.