NPI age
20 years
Enumerated 2005-11-14
● Active
Type 1 · Individual
Timothy L Black, MD
Black is 1 of 12 surgery providers in Fort Worth and 1 of 138 in Texas.
Primary specialty
Surgery
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-11-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 138 active surgery providers in Texas.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
37% of peers hold multiple states
Subspecialties
0
58% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-11Enumerated in NPPES
2005
2026
Where they practice
Practice location
1500 Cooper St
Fort Worth, TX 761042710
Mailing address
Po Box 99371
Fort Worth, TX 761990371
Specialties
-
Surgery PrimaryA surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1750369203 | NPI GROUP NUMBER |
| 01 (TX) | 8G3393 | BCBSTX PIN |
| 05 (TX) | 117647108 | |
| 05 (TX) | 117647106 |
Practice context
Part of a multi-provider practice. 420 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.