Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ELLIOTT BUNYAN BLACK III, M.D.

Active Sole Proprietor

DR. ELLIOTT BUNYAN BLACK III, M.D. is a Specialist healthcare provider located in METAIRIE, Louisiana. NPI 1912007311 is currently active in the NPPES registry. Verify at CMS.

Specialist · METAIRIE, LA

Registration Details

NPI Number: 1912007311
Provider Type: Individual
Gender: Male
NPI Issued: Sep 25, 2006 (19.741335144794 yrs)
Last Updated: Jul 8, 2007
License: 011207 (LA)
Sole Proprietor: Yes

Practice Information

Address: 4228 HOUMA BLVD

SUITE 100

METAIRIE, LA, 700063000
Browse LA providers · Browse ZIP 70006
Phone: 5048838900
Fax: 5048838901
Primary Specialty: Specialist
174400000X

Other Specialist Providers in METAIRIE, LA

Name	Credential	NPI
GERALD W VOCKE	M.D.	1871597633
DR. CYNTHIA LOUISE MIZGALA	MD	1750388757
LOUIS KENNETH COHEN	M.D.	1467450130
DR. BARBARA SCHUMANN BOPP	M.D.	1265432926
DR. FELIX PLANCHE BOPP	M.D.	1518967017
DR. JOSEPHINE SCHUMACHER BROWN	M.D.	1083614507

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.