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

Dr. Charles Henry Black IV, DO

Individual provider Orthopaedic Surgery Physician · NPI 1790988087

Dr. Charles Henry Black IV, DO is an Orthopedic Surgery in Sonora, California. Qualified in 2006, 20 years ago. Practices with Pecos Valley of New Mexico LLC, a 33-clinician group and accepts Medicare assignment. Licensed in California, Michigan and Mississippi.

Years since qualifying
20
Licensed in
CA, MI, MS
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1000 Greenley Rd
Sonora, CA 95370-5200
Phone: (209) 536-5054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 23113 (MS)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 20A24530 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 5101016776 (MI)

Record details

NPI number1790988087
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 6, 2007
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Pecos Valley Of New Mexico Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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