Brandon R Black, MD - Medicare Diagnostic Radiology in Pueblo, CO

Brandon R Black, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Pueblo, Colorado. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Parkwest Imaging, L.l.c, Southern Colorado Radiologists, P.c. and his current practice location is 1619 N Greenwood St, Suite 103, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 542-2167.

Brandon R Black is licensed to practice in Missouri (license number 2001015984) 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 1740249879.

Contact Information

Brandon R Black, MD
1619 N Greenwood St, Suite 103,
Pueblo, CO 81003-2644
(719) 542-2167
(719) 542-0320



Physician's Profile

Full NameBrandon R Black
GenderMale
SpecialityDiagnostic Radiology
Experience25 Years
Location1619 N Greenwood St, Pueblo, Colorado
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:
  • Brandon R Black attended and graduated from University Of Missouri, Columbia School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1740249879
  • Provider Enumeration Date: 03/18/2006
  • Last Update Date: 02/09/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7416021951
  • Enrollment ID: I20080801000228

Medical Identifiers

Medical identifiers for Brandon R Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740249879NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 2001015984 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Parkview Medical Center, IncPueblo, COHospital
Mt San Rafael HospitalTrinidad, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Parkwest Imaging, L.l.c31734152479
Southern Colorado Radiologists, P.c.751795979410

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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. Brandon R Black allows following entities to bill medicare on his behalf.
Entity NameParkwest Imaging, L.l.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790730810
PECOS PAC ID: 3173415247
Enrollment ID: O20040325000949

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Entity NameSouthern Colorado Radiologists, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386699486
PECOS PAC ID: 7517959794
Enrollment ID: O20040330001136

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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. Brandon R 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
Brandon R Black, MD
1619 N Greenwood St, Suite 103,
Pueblo, CO 81003-2644

Ph: (719) 542-2167
Brandon R Black, MD
1619 N Greenwood St, Suite 103,
Pueblo, CO 81003-2644

Ph: (719) 542-2167

News Archive

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Radiology Doctors in Pueblo, CO

Dr. Michael J Mccollum, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004
Phone: 719-542-7891    
Krynn Louis Stegelmeier, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1619 N Greenwood St, Pueblo, CO 81003
Phone: 719-542-2167    
Geoffrey Eric Johnson, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004
Phone: 719-557-5460    
Lisa T Cramer, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1619 N Greenwood St, Suite 103, Pueblo, CO 81003
Phone: 719-542-2167    Fax: 719-542-0320
William J Bufkin, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 124 W Pitkin Ave, Pueblo, CO 81004
Phone: 719-584-7410    Fax: 719-542-7019
Dr. Anna-maria Alicia De Costa, MD, PHD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1008 Minnequa Ave, Pueblo, CO 81004
Phone: 719-557-5460    Fax: 719-557-4648
Gordon F Gibbs, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 115 E Riverwalk, Unit 200, Pueblo, CO 81003
Phone: 719-542-7891    

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