Individual
CARL M BLACK
Active
Individual
CARL M BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
4737479-1205
UT
2085R0202X
Diagnostic Radiology Physician
Primary
4737479-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107008883101
IHC
UT
01
—
47374791204001
BLUE CROSS
UT
01
—
666798
DMBA
UT
01
—
870284448CB1
EMIA
UT
Enumeration date
06/12/2006
Last updated
06/05/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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