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

Dr. Brian Edward Black, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1649269473

Dr. Brian Edward Black, MD is a Sports Medicine (Orthopaedic Surgery) Physician in Miami, Florida. Licensed in Florida and Wisconsin. Registered with an NPI since 2005.

Licensed in
FL, WI
In the registry since
2005
Specialties on file
4
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

1611 NW 12th Ave
Miami, FL 33136-1005
Phone: (305) 585-5881
Fax: (305) 585-3322
Show map & directions

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

Specialties & licences

Pediatric Orthopaedic Surgery Physician (primary) Taxonomy 207XP3100X · Licence ME138640 (FL)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 31096 (WI)
Pediatric Sports Medicine Physician Taxonomy 2080S0010X · Licence 31096 (WI)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 31096 (WI)

Record details

NPI number1649269473
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 14, 2005
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021
Mailing address1611 Nw 12th Ave, Miami, FL 33136-1005

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