Individual provider · Type 1 NPI

Scott Bayles Black, MD

Family Medicine Physician · Provo, UT

NPI number 1811257462 Active

Practice location

475 W 940 N
Provo, UT 84604-3301

Call (801) 357-7930 Map

Fax (801) 357-7014

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X8699736-1205 (UT)
Family Medicine Physician 207Q00000XMD171322 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1811257462

Scott Bayles Black, MD's National Provider Identifier is 1811257462, issued on May 16, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Provo, UT. The record was last updated on Jun 8, 2026.