Family Medicine
JERROLD BLACK MD
Identity confirmed via CMS NPPES · September 29, 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 Plan acceptance stays unpublished until the practice reports it.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 1104833904 · enumerated 2006-08-02 · record updated 2011-02-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 4167 MERCHANT PLZ, WOODBRIDGE, VA, 22192-5088 (703) 878-8800 Fax (703) 878-2133 Google Maps Apple Maps OpenStreetMap
- Practice location 4167 MERCHANT PLZ, WOODBRIDGE, VA, 22192-5088 (703) 878-8800 Fax (703) 878-2133 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 01063821A IN
In this directory
Locations and evidence
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Practice location
WOODBRIDGE, VA, 221925088
Accepting new patientsNot reportedCMS NPPES · September 29, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.