IndividualActive
Bradley Black, MD
NPI 1861541575 · Ophthalmology Physician · Baton Rouge, LA
Provider details
- NPI number
- 1861541575
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 011988 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5220 Flanders Dr
Baton Rouge, LA 70808-9157
Phone: (225) 766-3437
Fax: (225) 766-3443
Approximate (ZIP-level) locationGet directions
Mailing address
5220 Flanders Dr
Baton Rouge, LA 70808-9157
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.