Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES BRAD BLACK, MD
ActiveCHARLES BRAD BLACK, MD is a Family Medicine healthcare provider located in LIBBY, Montana. NPI 1356407902 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LIBBY, MT
Registration Details
- NPI Number
- 1356407902
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2006 (19.481026326402 yrs)
- Last Updated
- Nov 18, 2013
- License
-
4055 (MT)
Practice Information
- Address
-
214 E 3RD STLIBBY, MT, 599232056Browse MT providers · Browse ZIP 59923
- Phone
- 4062939274
- Fax
- 4062939280
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LIBBY, MT
| Name | Credential | NPI |
|---|---|---|
| GREGORY A RICE | MD | 1477529998 |
| JANA M HALL | MD | 1063523629 |
| MICHAEL L MAHONEY | MD | 1588766273 |
| CLYDE ALLEN KNECHT | MD | 1295823979 |
| DR. JAY MALONEY | MD | 1679602486 |
| DR. JANE PAULINE BORISH | MD | 1386773190 |
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.