Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Trevor Elan Black, D.P.M.

Foot & Ankle Surgery Podiatrist in Moscow, ID · enumerated 2013 · practices at Gritman Medical Center, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1861835308

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Mr. Trevor Elan Black

Credential D.P.M.

Sex Male

Practice address 623 S Main St Ste 1, Moscow, ID, 83843

Phone (208) 882-2011

Enumeration date Apr 15, 2013

Last updated in NPPES Sep 22, 2026

Taxonomy & licenses

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License 3381305 (ID) Primary

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care Secondary

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers · License POD001289 (GA) Secondary

DPM · Doctor of Podiatric Medicine: A physician specializing in medical and surgical care of the foot and ankle. About the DPM credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Trevor Black?

Trevor Black is registered in NPPES with the primary taxonomy of Foot & Ankle Surgery Podiatrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

Browse all →

Wendy Goodrich Physician Assistant · Moscow, ID NPI 1255400388 Kyrsten Stoops Family Medicine Physician · Moscow, ID NPI 1417261934 Jessica Bonnett Family Medicine Physician · Moscow, ID NPI 1669786653 Bryn Parker Family Medicine Physician · Moscow, ID NPI 1598058711 Summer Day Pediatrics Physician · Moscow, ID NPI 1457627937 Amy Dudley Family Medicine Physician · Moscow, ID NPI 1588028567 Caren Loomis Cox Mental Health Counselor · Moscow, ID NPI 1174977144 Tiki Hansen Psychiatric/Mental Health Nurse Practitioner · Moscow, ID NPI 1932659422

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-09-22.