Brian Black, MD
Brian Black, MD is a Pediatric Orthopaedic Surgery Physician in Miami, FL, registered under NPI 1649269473. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1611 NW 12TH AVE, Miami, FL 33136. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 31096 | WI | Sports Medicine (Orthopaedic Surgery)… |
| 31096 | WI | Pediatric Sports Medicine Physician |
| ME138640 | FL | Pediatric Orthopaedic Surgery Physician primary |
| 31096 | WI | Orthopaedic Surgery Physician |
Licences are recorded in 2 states: WI, FL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Orthopedic Surgery
- PAC ID
- 1658326129
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Wisconsin | I20100707000558 | Practitioner - Orthopedic Surgery |
| Florida | I20210621002462 | Practitioner - Orthopedic Surgery |
Medicare enrolment is recorded as approved under the provider type Practitioner - Orthopedic Surgery. There are 2 separate enrolment records across 2 states (WI, FL). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Florida and Wisconsin. The practice address on file is in Miami, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- ME138640
- Specialty
- Pediatric Orthopaedic Surgery Physician
- Licence
- 31096
- Specialty
- Sports Medicine (Orthopaedic Surgery)…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Pediatric Orthopaedic Surgery covers
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. NUCC Health Care Provider Taxonomy, code 207XP3100X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician Sports Medicine | 31096 | WI | |
| 2080S0010X | Pediatric Sports Medicine Physician Sports Medicine | 31096 | WI | |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician Pediatric Orthopaedic Surgery | ME138640 | FL | primary |
| 207X00000X | Orthopaedic Surgery Physician | 31096 | WI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1649269473 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Oct 14, 2005 |
| Last updated | Jun 15, 2021 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | MD |
| Practice address |
1611 NW 12TH AVE Miami, FL 33136 (305) 585-5881 Fax (305) 585-3322 |
| Other identifiers |
31606600
· Medicaid (WI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 4 | 9 | 2 | 6 | 9 | 4 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 8 | 9 | 4 | 6 | 9 | 4 | 5 |
Sum = 77 · next multiple of 10 = 80 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.