Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brandon R Black, MD

Individual provider Diagnostic Radiology Physician · NPI 1740249879

Brandon R Black, MD is a Diagnostic Radiology in Pueblo, Colorado. Graduated from University of Missouri, Columbia School of Medicine in 1999, 27 years ago. Practices with Southern Colorado Radiologists, PC, an 11-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
27
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1619 N Greenwood St Ste 103
Pueblo, CO 81003-2644
Phone: (719) 542-2167
Fax: (719) 542-0320
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2001015984 (MO)

Record details

NPI number1740249879
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 18, 2006
Last updated in NPPESFebruary 9, 2008
Mailing address1619 N Greenwood St, Suite 103, Pueblo, CO 81003-2644

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Southern Colorado Radiologists, P.C. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pueblo