Student in an Organized Health Care Education/Training Program
ADAM BLACK
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1134099492 · enumerated 2025-11-10 · record updated 2026-08-16. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 825 FAIRFAX AVE, NORFOLK, VA, 23507-1912 (757) 446-5600 Google Maps Apple Maps OpenStreetMap
- Mailing address 825 FAIRFAX AVE, NORFOLK, VA, 23507-1912 Google Maps Apple Maps OpenStreetMap
Specialties
- Student in an Organized Health Care Education/Training Program 390200000X · Primary
- Physician Assistant 363A00000X · License 0110012096 VA
In this directory
VA Norfolk city Norfolk Student in an Organized Health Care Education/Training Program
Locations and evidence
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Practice location
NORFOLK, VA, 235071912
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.