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

Samuel Jacob Black, MD, PHD

Individual provider Internal Medicine Physician · NPI 1124697958

Samuel Jacob Black, MD, PHD is an Internal Medicine in Philadelphia, Pennsylvania. Graduated from Temple University School of Medicine in 2021, 5 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Trained at
Temple University School of Medicine
Licensed in
PA
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.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3322 N Broad St
Philadelphia, PA 19140-5185
Phone: (215) 707-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence MT222514 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MT222514 (PA)

Record details

NPI number1124697958
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedJune 24, 2021
Last updated in NPPESJune 26, 2021
Certification dateJune 26, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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