Bradford Thomas Black, MD is a medicare enrolled "Urology" physician in Alliance, Ohio. He went to University Of Arkansas College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Urology. He is a member of the group practice Cleveland Clinic Foundation and his current practice location is
885 S Sawburg Rd, Suite 105, Alliance, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 823-1112.
Bradford Thomas Black is licensed to practice in Ohio (license number 58282) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356326136.
Physician's Profile
| Full Name | Bradford Thomas Black |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 40 Years |
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| Location | 885 S Sawburg Rd, Alliance, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Bradford Thomas Black attended and graduated from University Of Arkansas College Of Medicine in 1984
NPI Data:
- NPI Number: 1356326136
- Provider Enumeration Date: 12/14/2005
- Last Update Date: 05/12/2008
Medicare PECOS Information:
- PECOS PAC ID: 7315984317
- Enrollment ID: I20100721000437
Medical Identifiers
Medical identifiers for Bradford Thomas Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356326136 | NPI | - | NPPES |
| 0738536 | Medicaid | OH | |
| 340012867 | Other | OH | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 58282 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cleveland Clinic Foundation | 1850203555 | 5680 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bradford Thomas Black allows following entities to bill medicare on his behalf.
| Entity Name | The Cleveland Clinic Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradford Thomas Black is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Bradford Thomas Black, MD
2777 Carrington St Nw,
North Canton, OH 44720-8163
Ph: (330) 244-0515 | Bradford Thomas Black, MD
885 S Sawburg Rd, Suite 105,
Alliance, OH 44601-5905
Ph: (330) 823-1112 |
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