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

Jonathan Reid Black, MD

Individual provider Psychosomatic Medicine Physician · NPI 1710564539

Jonathan Reid Black, MD is a Psychiatry in Birmingham, Alabama. Graduated from University of Mississippi School of Medicine in 2021, 5 years ago. Works from 2 locations. Licensed in Alabama and New York.

Years since qualifying
5
Trained at
University of Mississippi School of Medicine
Licensed in
AL, NY
In the registry since
2021
Specialties on file
2
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

619 19th St S
Birmingham, AL 35233-1900
Phone: (205) 934-4011
Show map & directions

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

Additional practice locations (1)

  • 622 W 168th St, New York, NY 10032-3720 — (646) 951-1086

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 45256 (AL)
Psychosomatic Medicine Physician Taxonomy 2084P0015X · Licence 335155 (NY)

Record details

NPI number1710564539
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing addressPo Box 55310, Birmingham, AL 35255-5310

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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