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

Brent T. Black, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1144849365

Brent T. Black, DDS is a Maxillofacial Surgery in College Station, Texas. Qualified in 2020, 6 years ago. Practices with Brazos Valley Oms PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1505 Emerald Plz
College Station, TX 77845-1501
Phone: (979) 764-7101
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 36416 (TX)

Record details

NPI number1144849365
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 9, 2020
Last updated in NPPESJuly 15, 2024
Certification dateJuly 15, 2024
Mailing address1505 Emerald Plz, College Station, TX 77845-1501

Medicare enrollment

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

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Brazos Valley Oms Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in College Station