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

NPI Status: Active since June 11, 2005

Contact Information

317 S 450 W UNIT D
SPRINGVILLE, UT
ZIP 84663
Phone: (435) 830-3772

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  • Individual
  • Male
  • Family Medicine

About BRENT BLACK

This page provides the complete NPI Profile along with additional information for Brent Black, a primary care provider established in Springville, Utah with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1710981279 assigned on June 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 170138-1205 (UT). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1710981279
Provider Name
DR. BRENT DALE BLACK M.D.
Gender
Male
Entity Type
Individual
Location Address
317 S 450 W UNIT D SPRINGVILLE, UT 84663
Location Phone
(435) 830-3772
Mailing Address
317 S 450 W UNIT D SPRINGVILLE, UT 84663
Mailing Phone
(435) 830-3772
Is Sole Proprietor?
No
Enumeration Date
06-11-2005
Last Update Date
02-27-2024
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A primary care provider (PCP) like Brent Black sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
170138-1205
License State
UT
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12083X0100XAllopathic & Osteopathic Physicians

Preventive Medicine
Occupational Medicine

170138-1205 (UT)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710981279
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27201882214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 1 + 8 + 8 + 2 + 2 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1710981279 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710981279, enumerated in the NPI registry 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

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on June 11, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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