Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRENT DALE BLACK, M.D.
ActiveDR. BRENT DALE BLACK, M.D. is a Family Medicine healthcare provider located in SPRINGVILLE, Utah. NPI 1710981279 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SPRINGVILLE, UT
Registration Details
- NPI Number
- 1710981279
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2005 (21.142788488553 yrs)
- Last Updated
- Feb 27, 2024
- Licenses
-
170138-1205 (UT)170138-1205 (UT)
Practice Information
- Address
-
317 S 450 W UNIT DSPRINGVILLE, UT, 846635838Browse UT providers · Browse ZIP 84663
- Phone
- 4358303772
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SPRINGVILLE, UT
| Name | Credential | NPI |
|---|---|---|
| WILLIAM DAVID VOSS | DO | 1447246244 |
| BRET N LESUEUR | D.O. | 1871548248 |
| MARC A PENROD | M.D. | 1831137140 |
| JOHN STEWART TAYLOR | M.D. | 1740228055 |
| IAN MCMASTER | M.D. | 1598799462 |
| DANIEL B TOVEY | MD | 1952316150 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.