NPI 1609808369 · live from the CMS NPI Registry
Steven Edward Black, M.D.
Radiology, Diagnostic Radiology in Gainesville, GA. National Provider Identifier 1609808369, active.
NPI record
| NPI | 1609808369 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 200 W Academy Street, Gainesville, GA 30501 |
| Practice phone | 770-282-8820 |
| Mailing address | Po Box 2417, Gainesville, GA 30503 |
| Enumerated | July 6, 2006 |
| Last updated | August 10, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Vascular & Interventional Radiology | 2085R0204X | 045727 (GA) |
| Radiology, Diagnostic Radiology | 2085R0202X | 81682 (MN) |
| Radiology, Diagnostic Radiology | 2085R0202X | MD-56577 (IA) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 045727 (GA) |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | MD-56577 (IA) |
| Radiology, Diagnostic Radiology | 2085R0202X | 28903 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.