WILLIAM CONRAD BLACK (M.D.) – Internal Medicine Physician, NPI 1053722413

WILLIAM CONRAD BLACK (M.D.) is a healthcare provider. based in Birmingham, Alabama. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 34489 (AL). The NPI Number for WILLIAM CONRAD BLACK (M.D.) is 1053722413

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM CONRAD BLACK (M.D.)
NPI
1053722413
Phone
(205) 783-3505
Address
801 PRINCETON AVE SW STE 229
Enumeration Date
19 May 2014
Last Update Date
10 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2059711000
Graduation Year
2014 (12 years ago)
PAC ID
6406142058
Group Practice PAC ID
1658680434
Professional Enrollment ID
I20160907001857
Address ID
AL352433326BI3690XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:12State licenses:1Digital endpointsOther names

2,215 INTERNAL MEDICINE in AL

Provider Addresses for WILLIAM CONRAD BLACK (M.D.)

  • 801 PRINCETON AVE SW STE 229

    BIRMINGHAM, AL 352111322

    Phone: (205) 783-3505

    Fax: (205) 783-3508

    Type: Location

  • 3686 GRANDVIEW PKWY STE 720

    BIRMINGHAM, AL 352433408

    Phone: (205) 971-7500

    Type: Location

  • 209 W Spring St Ste 304

    Sylacauga, AL 351502976

    Phone: (205) 971-7500

    Fax: (205) 971-7571

    Type: Location

  • 3680 GRANDVIEW PKWY STE 200

    BIRMINGHAM, AL 352433411

    Phone: (205) 971-7500

    Fax: (205) 971-7571

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $2,176.

Total Amount is formed as General ($2,176) + Research ($0) + Ownership ($0) = $2,176.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: ABIOMED ($1,294).

Total Amount

$2,176

General + Research + Ownership

Payments

46

Total payment records

General Amount

$2,176

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160907001857IInternal MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report160143$0
99214Established patient office or other outpatient visit, 30-39 minutes11291$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10865$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function9797$0
99204New patient office or other outpatient visit, 45-59 minutes7777$0
View full utilization report →

Insurance plans in this area (ZIP 35211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658680434View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineAL
-AL
Nurse PractitionerAL
Nurse PractitionerAL
Cardiovascular Disease (Cardiology)IL
Nurse PractitionerAL
-AL
Cardiovascular Disease (Cardiology)AL
Cardiovascular Disease (Cardiology), Interventional CardiologyAL
-AL

Reviews

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Frequently asked questions

Is there an official ID for WILLIAM CONRAD BLACK (M.D.) in U.S. healthcare records?
The official identifier for WILLIAM CONRAD BLACK (M.D.) is NPI 1053722413.
Is WILLIAM CONRAD BLACK (M.D.) shown as active in public data?
Registry records indicate WILLIAM CONRAD BLACK (M.D.) maintains an active NPI.
What kind of doctor is WILLIAM CONRAD BLACK (M.D.)?
WILLIAM CONRAD BLACK (M.D.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for WILLIAM CONRAD BLACK (M.D.)?
Travel planning: use Birmingham, Alabama as the reference point for WILLIAM CONRAD BLACK (M.D.), then confirm.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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