Individual
BRIAN HOUSTON BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1033 INDIANAPOLIS RD STE 110, GREENCASTLE, IN 46135-2407
(765) 653-8453
(765) 653-8493
Mailing address
1100 SOUTHFIELD DR STE 1370, PLAINFIELD, IN 46168-4300
(317) 837-5566
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02002904A
IN
207Q00000X
Family Medicine Physician
Primary
02002904A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437255239
NPI
IN
05
—
200521550
—
IN
01
—
P00332798
RAILROAD MEDICARE
IN
Enumeration date
09/16/2006
Last updated
09/15/2025
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