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

Caleb Gerald Black, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114714128

Caleb Gerald Black, MD is a Student in an Organized Health Care Education/Training Program in Beavercreek, Ohio. Registered with an NPI since 2025.

In the registry since
2025
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

2145 N Fairfield Rd
Beavercreek, OH 45431-2580
Phone: (937) 558-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114714128
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address2145 N Fairfield Rd, Beavercreek, OH 45431-2580

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