Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JULIA L BLACK, DO
ActiveSports Medicine · OMAHA, NE
Registration Details
- NPI Number
- 1114379872
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2016 (9.7914389744282 yrs)
- Last Updated
- Jun 23, 2022
- Licenses
-
DO-05227 (IA)R10715 (IA)94-10056 (KS)DO-05227 (IA)2258 (NE)
Practice Information
- Address
-
2725 S 144TH ST STE 212OMAHA, NE, 681445253Browse NE providers · Browse ZIP 68144
- Phone
- 4026370800
- Fax
- 4026370808
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Sports Medicine
- Additional Specialty
- Sports Medicine
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in OMAHA, NE
| Name | Credential | NPI |
|---|---|---|
| AMARD ABCEJO | DO | 1134571862 |
| RYAN ANTONAWICH | DO | 1194454868 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.