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

Scott Bayles Black, MD

Individual provider Family Medicine Physician · NPI 1811257462

Scott Bayles Black, MD is a Family Practice in Provo, Utah. Qualified in 2012, 14 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon and Utah.

Years since qualifying
14
Licensed in
OR, UT
In the registry since
2012
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

475 W 940 N
Provo, UT 84604-3301
Phone: (801) 357-7930
Fax: (801) 357-7014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 51600 Huntington Rd, La Pine, OR 97739-8887 — (541) 536-3435

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 8699736-1205 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD171322 (OR)

Record details

NPI number1811257462
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2012
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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