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

Dr. Jordan Black, MD

Individual provider Neurological Surgery Physician · NPI 1083289730

Dr. Jordan Black, MD is a Neurological Surgery Physician in Royal Oak, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
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

3555 W 13 Mile Rd
Royal Oak, MI 48073-6710
Phone: (248) 982-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 4351048510 (MI)

Record details

NPI number1083289730
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 25, 2021
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021
Mailing address3601 W 13 Mile Rd, Royal Oak, MI 48073-6712

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