Carl M Black, MD
Carl M Black, MD is a Diagnostic Radiology in Provo, Utah. Graduated from George Washington University School of Medicine in 1989, 37 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.
- Years since qualifying
- 37
- Trained at
- George Washington University School of Medicine
- Licensed in
- UT
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1034 N 500 WProvo, UT 84604-3380
Phone: (801) 357-4423
Fax: (801) 357-7626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 4737479-1205 (UT) |
|---|---|
| Nuclear Radiology Physician | Taxonomy 2085N0904X · Licence 4737479-1205 (UT) |
Record details
| NPI number | 1891737094 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 12, 2006 |
| Last updated in NPPES | June 5, 2026 |
| Certification date | June 5, 2026 |
| Mailing address | Po Box 30180, Salt Lake City, UT 84130-0180 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1989 (37 years in practice) |
| Group practice | Ihc Health Services Inc — 3947 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Provo
-
Jason Marshall Allen, DO
1055 N 500 W Ste 112, Provo, UT 84604-3305 · (801) 812-4624
-
Mark S Asay, MD
1034 N 500 W, Provo, UT 84604-3380 · (801) 357-4423
-
Dr. Derek Scott Bergeson, MD
1055 N 500 W Attn Credentialing, Provo, UT 84604-8460 · (801) 354-8225
-
Dr. Seth Cardall, MD
1034 N 500 W, Provo, UT 84604-3380 · (801) 225-6246
-
Brent C Chandler, MD
1034 N 500 W, Provo, UT 84604-3380 · (801) 373-7850
-
Kimball Lael Christianson, MD
1055 N 500 W Ste 112 Bldg C, Provo, UT 84604 · (801) 812-4624
-
Dr. Daniel Lyman Corey, MD
1034 N 500 W, Provo, UT 84604-3380 · (801) 225-6246