Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Brent Dale Black, MD

Individual provider Occupational Medicine Physician · NPI 1710981279

Dr. Brent Dale Black, MD is an Occupational Medicine Physician in Springville, Utah. Licensed in Utah. Registered with an NPI since 2005.

Licensed in
UT
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

317 S 450 W Unit D
Springville, UT 84663-5838
Phone: (435) 830-3772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 170138-1205 (UT)
Occupational Medicine Physician Taxonomy 2083X0100X · Licence 170138-1205 (UT)

Record details

NPI number1710981279
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2005
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024

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