Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Breana Whitten Black, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1851139604

Breana Whitten Black, AGACNP-BC is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2024, 2 years ago. Practices with Birmingham Radiological Group PC, a 40-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
2
Licensed in
AL
In the registry since
2024
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Practice location Address checks out

3690 Grandview Pkwy Dept OF
Birmingham, AL 35243-3326
Phone: (205) 971-7651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1-169032 (AL)

Record details

NPI number1851139604
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedJuly 16, 2024
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Birmingham Radiological Group Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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