Individual provider · Type 1 NPI

Adam Black

Student in an Organized Health Care Education/Training Program · Norfolk, VA

NPI number 1134099492 Active

Practice location

825 Fairfax Ave
Norfolk, VA 23507-1912

Call (757) 446-5600 Map

Other practice locations

  • 20209 Sentara Way Ste 200, Carrollton, VA 23314-3574 · (757) 542-2000

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Physician Assistant 363A00000X0110012096 (VA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134099492

Adam Black's National Provider Identifier is 1134099492, issued on Nov 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norfolk, VA. The record was last updated on Aug 16, 2026.