Family Medicine
SCOTT BLACK MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1811257462 · enumerated 2012-05-16 · record updated 2026-06-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address PO BOX 27128, SALT LAKE CITY, UT, 84127-0128 (801) 357-7930 Google Maps Apple Maps OpenStreetMap
- Practice location 475 W 940 N, PROVO, UT, 84604-3301 (801) 357-7930 Fax (801) 357-7014 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License 8699736-1205 UT
- Family Medicine 207Q00000X · License MD171322 OR
Published links
In this directory
Locations and evidence
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Practice location
PROVO, UT, 846043301
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.