Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Timothy L Black, MD

Pediatric Surgery Physician in Fort Worth, TX · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669453940

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Registry record

Entity type Individual (Type 1)

Name Timothy L Black

Credential MD

Sex Male

Practice address 1500 Cooper St, Fort Worth, TX, 76104

Phone (682) 885-7080

Fax (682) 885-7085

Enumeration date Nov 14, 2005

Last updated in NPPES Nov 5, 2012

Taxonomy & licenses

2086S0120X Pediatric Surgery Physician Allopathic & Osteopathic Physicians · License H1467 (TX) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1750369203	Other	-	NPI GROUP NUMBER
8G3393	Other	TX	BCBSTX PIN
117647108	Medicaid	TX	-
117647106	Medicaid	TX	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Timothy Black's NPI record?

Cross-check NPI 1669453940 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1669453940 active?

Yes, as of the latest NPPES snapshot, NPI 1669453940 is active (record last updated 2012-11-05).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-11-05.