Black Bag Medical Inc
NPI 1750440988 · Family Medicine Physician · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Black Bag Medical Inc is a Family Medicine Physician organization in Jacksonville, FL (NPI 1750440988).
Provider details
- NPI number
- 1750440988
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Stephens, President(904) 371-4051
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Black Bag Medical Inc's NPI number?
- Black Bag Medical Inc's National Provider Identifier (NPI) is 1750440988, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Bag Medical Inc?
- Black Bag Medical Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Black Bag Medical Inc located?
- Black Bag Medical Inc's practice location on file with NPPES is 4320 Deerwood Lake Pkwy, Jacksonville, FL 32216-1177.
- What is Black Bag Medical Inc's phone number?
- The practice phone number listed in the NPPES registry for Black Bag Medical Inc is (904) 371-4051.
- Does Black Bag Medical Inc accept Medicare?
- Black Bag Medical Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Black Bag Medical Inc?
- The authorized official listed on Black Bag Medical Inc's NPPES record is Brian Stephens, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Bag Medical Inc's NPI active?
- Yes — Black Bag Medical Inc's NPI (1750440988) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.