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

Michelle T Black, MD

Individual provider Diagnostic Radiology Physician · NPI 1972739001

Michelle T Black, MD is a Diagnostic Radiology in Bend, Oregon. Graduated from New York University School of Medicine in 2009, 17 years ago. Practices with Central Oregon Radiology Assoc PC, a 43-clinician group and accepts Medicare assignment. Licensed in California, Colorado, Hawaii and Kansas and 2 more.

Years since qualifying
17
Trained at
New York University School of Medicine
Licensed in
CA, CO, HI, KS, NE, OR
In the registry since
2009
Specialties on file
6
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

1460 NE Medical Center Dr
Bend, OR 97701-6061
Phone: (541) 382-6633
Fax: (541) 383-4577
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 113466 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD18981 (HI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 57945 (CO)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD226250 (OR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 04-39604 (KS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 29776 (NE)

Record details

NPI number1972739001
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2009
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Central Oregon Radiology Assoc Pc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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