FREDRIC LEE BLACK DO
NPI 1306943188
Family Medicine in Grand Forks, ND

Active since September 20, 2006
1000 SOUTH COLUMBIA ROAD, GRAND FORKS, ND 58206(701) 780-5000(701) 780-1942 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fredric Lee Black Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDRIC LEE BLACK DO (NPI 1306943188) is an individual family medicine provider in Grand Forks, North Dakota, licensed in North Dakota (7575) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1306943188
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFREDRIC LEE BLACKCredential: DO
Location Address1000 SOUTH COLUMBIA ROADGrand Forks, ND 58206-6002
Mailing AddressPo Box 6002Grand Forks, ND 58206-6002 · (701) 780-5000 · Fax (701) 780-1942
Fax(701) 780-1942
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateDecember 28, 2007
NPI 1306943188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ND · 7575
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1000 SOUTH COLUMBIA ROAD, Grand Forks, ND 58206

Other Identifiers 2

Medicare UPING44575ND
Medicare PIN19733ND

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
1000 SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58206
Occupational Therapist
1000 SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58206
Occupational Therapist
1000 SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58206
Internal Medicine (Gastroenterology)
1000 SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58206
Pharmacist
1000 SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58206
Occupational Therapist
1000 SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58206
Dietitian, Registered
1000 SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58206
Surgery (Surgical Critical Care)
1000 SOUTH COLUMBIA ROAD
GRAND FORKS, ND 58206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fredric Black's NPI number?

The NPI number for Fredric Black is 1306943188. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Fredric Black located?

Fredric Black practices at 1000 South Columbia Road, Grand Forks, ND 58206. The listed phone number is (701) 780-5000.

What is Fredric Black's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Fredric Black was last updated on December 28, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.