Dr. Perry Black , MD
Physician β’ Philadelphia, PA
219 N Broad St Fl -10th
Philadelphia, PA 191071519
Phone: 2157624157
Location details and other listingsThis profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
This NPI Is Deactivated in NPPES
NPPES lists this NPI as deactivated as of December 11, 2018; the reason is not published. The records below are historical. They do not show whether Dr. Perry Black currently practices or holds a license; check the state medical board for current license status.
Practice Location & Contact Primary Location
219 N Broad St Fl -10th
Philadelphia, PA 191071519
What Public CMS Data Show
Physician: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Compared with the same specialty in Philadelphia and Pennsylvania
Comparisons are not shown because NPPES lists this NPI as deactivated.
Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 261QA1903X
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery
Doctor of Medicine (M.D.), Master of Public Health
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPPES lists this NPI as deactivated as of December 11, 2018; the reason is not published.
NPI status registered as active in NPPES database
Registered at 219 N BROAD ST FL -10TH, PHILADELPHIA, PA 191071519 (Tel: 2157624157)
Registered at 219 N. BROARD ST.- 10TH FL., PHILADELPHIA,, PA 191071192 (Tel: 2157624157)
Recorded as PERRY BLACK, M.D.
Clinic/Center (license number reported to NPPES: PA MD022449E)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
219 N. Broard St.- 10th Fl.
Philadelphia,, PA 191071192
Phone: 2157624157