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

Individual provider Family Medicine Physician · NPI 1730199290

Bruce T Black, MD is a Family Practice in Madison, Mississippi. Graduated from University of Mississippi School of Medicine in 2002, 24 years ago. Practices with Medical Foundation of Central Mississippi Inc, a 273-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
24
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

401 Baptist Dr Ste 104
Madison, MS 39110-2009
Phone: (601) 605-3858
Fax: (601) 605-3898
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 18358 (MS)

Record details

NPI number1730199290
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2006
Last updated in NPPESFebruary 12, 2018
Mailing address965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Medical Foundation Of Central Mississippi Inc — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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