Brent Black, M.D

ActiveIndividual ProviderSpecialty not listed
NPI issued: June 11, 2005

Quick Facts

NPI Number
1710981279
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy2083X0100X — Specialty not listed
Phone
(435) 830-3772
StateUT

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1710981279)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 11, 2005)
Data source: CMS NPPES

Provider Overview

BRENT BLACK, M.D is a Healthcare provider based in Springville, UT who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1710981279
Provider TypeIndividual Provider
GenderMale
CredentialM.D
StatusActive
Enumeration DateJune 11, 2005

Practice Location

CitySpringville
StateUT
ZIP Code84663-5838
Phone(435) 830-3772

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code2083X0100X
License StateUT

Mailing Address

CitySpringville
StateUT
ZIP Code84663-5838
Phone(435) 830-3772
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1710981279 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1710981279for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1710981279 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Specialty not listedproviders →
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3,028
Specialty not listed Providers in the US

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People Also Ask

What is Brent Black's NPI number?
Brent Black's NPI number is 1710981279, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Brent Black's NPI currently active?
Yes, Brent Black's NPI status is Active as of the latest CMS NPPES database updates.
What does Brent Black specialize in?
Brent Black specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 2083X0100X.
Where does Brent Black practice?
Brent Black practices in Springville, UT 84663-5838.
When was Brent Black's NPI issued?
Brent Black's NPI was issued on June 11, 2005.
What is Brent Black's provider type?
Brent Black is registered as an Individual Provider under CMS NPI Type 1.