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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: August 23, 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
Phone(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
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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 Brent Black's NPI number?

The NPI number for Brent Black is 1710981279. It was assigned to this individual provider in the NPPES registry on June 11, 2005.

Where is Brent Black located?

Brent Black practices at 317 S 450 W Unit D, Springville, UT 84663. The listed phone number is (435) 830-3772.

What is Brent 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 Brent Black was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.