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

Jerrold G Black, MD

Individual provider Family Medicine Physician · NPI 1104833904

Jerrold G Black, MD is a Family Medicine Physician in Woodbridge, Virginia. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4167 Merchant Plz
Woodbridge, VA 22192-5088
Phone: (703) 878-8800
Fax: (703) 878-2133
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 01063821A (IN)

Record details

NPI number1104833904
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2006
Last updated in NPPESFebruary 28, 2011
Mailing address4167 Merchant Plz, Woodbridge, VA 22192-5088

Other providers in Woodbridge