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

Fredric Lee Black, DO

Individual provider Family Medicine Physician · NPI 1306943188

Fredric Lee Black, DO is a Family Medicine Physician in Grand Forks, North Dakota. Licensed in North Dakota. Registered with an NPI since 2006.

Licensed in
ND
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1000 S Columbia Rd
Grand Forks, ND 58206-6002
Phone: (701) 780-5000
Fax: (701) 780-1942
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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 7575 (ND)

Record details

NPI number1306943188
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESDecember 28, 2007

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