DR. BRENT DALE BLACK M.D.
NPI 1710981279
Family Medicine in Springville, UT

Active since June 11, 2005
317 S 450 W UNIT D, SPRINGVILLE, UT 84663(435) 830-3772 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Brent Dale Black M.d. NPPES

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

DR. BRENT DALE BLACK M.D. (NPI 1710981279) is an individual family medicine provider in Springville, Utah, licensed in Utah (170138-1205) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1710981279
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BRENT DALE BLACKCredential: M.D.
Location Address317 S 450 W UNIT DSpringville, UT 84663-5838
Mailing Address317 S 450 W Unit DSpringville, UT 84663-5838 · (435) 830-3772
Sole ProprietorNo
Enumeration DateJune 11, 2005
Last NPPES UpdateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
NPI 1710981279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 170138-1205
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.

Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 170138-1205 (UT)
317 S 450 W UNIT D, Springville, UT 84663

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710981279, enumerated as an "individual" on June 11, 2005.

The provider is located at 317 S 450 W UNIT D SPRINGVILLE, UT 84663 and the phone number is (435) 830-3772.

Family Medicine with taxonomy code 207Q00000X.