Dr. Clyde Edward Black , MD
Specialist • Anniston, AL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Clyde Black has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Clyde Black, MD was a registered Specialist practicing in Anniston, AL. Throughout an active medical career spanning 18 years, Dr. Black provided care at the practice location at 425 E 10TH ST until profile deactivation on 2023-03-08.
Practice Location & Contact Primary Location
425 E 10th St
Suite B
Anniston, AL 362074787
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Anniston, AL
Practicing in Anniston, AL (611 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Specialist
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 08, 2023
NPI status registered as active in NPPES database
Registered at 425 E 10TH ST, SUITE B, ANNISTON, AL 362074787 (Tel: 2562363485)
Registered at 425 E 10TH ST, SUITE B, ANNISTON, AL 362074787 (Tel: 2562363485)
Recorded as CLYDE BLACK, M.D.
Specialist (License #5174 in AL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
425 E 10th St, Suite B
Anniston, AL 362074787
Phone: 2562363485
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