Bradford Thomas Black, MD - Medicare Urology in Alliance, OH

Bradford Thomas Black, MD is a medicare enrolled "Urology" physician in Alliance, Ohio. He went to University Of Arkansas College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Urology. He is a member of the group practice Cleveland Clinic Foundation and his current practice location is 885 S Sawburg Rd, Suite 105, Alliance, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 823-1112.

Bradford Thomas Black is licensed to practice in Ohio (license number 58282) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356326136.

Contact Information

Bradford Thomas Black, MD
885 S Sawburg Rd, Suite 105,
Alliance, OH 44601-5905
(330) 823-1112
(330) 823-1139



Physician's Profile

Full NameBradford Thomas Black
GenderMale
SpecialityUrology
Experience40 Years
Location885 S Sawburg Rd, Alliance, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bradford Thomas Black attended and graduated from University Of Arkansas College Of Medicine in 1984
  NPI Data:
  • NPI Number: 1356326136
  • Provider Enumeration Date: 12/14/2005
  • Last Update Date: 05/12/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7315984317
  • Enrollment ID: I20100721000437

Medical Identifiers

Medical identifiers for Bradford Thomas Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356326136NPI-NPPES
0738536MedicaidOH
340012867OtherOHMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 58282 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical CenterCanton, OHHospital
Alliance Community HospitalAlliance, OHHospital
Akron General Medical CenterAkron, OHHospital
Salem Regional Medical CenterSalem, OHHospital
Union HospitalDover, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cleveland Clinic Foundation18502035555690

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bradford Thomas Black allows following entities to bill medicare on his behalf.
Entity NameThe Cleveland Clinic Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679525919
PECOS PAC ID: 1850203555
Enrollment ID: O20031103000049

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Entity NameAlliance And Salem Urology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982113197
PECOS PAC ID: 6901167568
Enrollment ID: O20180223001158

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradford Thomas Black is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bradford Thomas Black, MD
2777 Carrington St Nw,
North Canton, OH 44720-8163

Ph: (330) 244-0515
Bradford Thomas Black, MD
885 S Sawburg Rd, Suite 105,
Alliance, OH 44601-5905

Ph: (330) 823-1112

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Urology Doctors in Alliance, OH

Michael Joseph Scolieri, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 885 S Sawburg Rd, Ste 105, Alliance, OH 44601
Phone: 330-823-1112    Fax: 330-823-1139

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