Individual
BRADLEY C BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 W 14TH ST, STE 100, JEFFERSONVILLE, IN 47130-3751
(812) 284-0660
(812) 284-3822
Mailing address
302 W 14TH ST, STE 100, JEFFERSONVILLE, IN 47130-3751
(812) 284-0660
(812) 284-3822
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01027732A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042712
ANTHEM
—
05
—
100116130
—
IN
01
—
1051940
PASSPORT
KY
01
—
245535P
SIHO
—
01
—
33654
IHN
—
01
—
351995025
HUMANA
—
01
—
4114033
FIRST HEALTH
—
01
—
64755762
UNISYS
KY
01
—
690178
FIRST HEALTH
—
01
—
918528
BLOCK VISION
—
Enumeration date
06/21/2005
Last updated
05/12/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us