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Fred Black MD PC

Family Medicine Physician in Roseburg, OR · enumerated 2005 · authorized official Frederick Black, President.

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

National Provider Identifier

1710970330

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Registry record

Entity type Organization (Type 2)
Legal business name Fred Black MD PC
Practice address 2282 Nw Troost St, Suite 103, Roseburg, OR, 97471
Phone (541) 672-0497
Fax (541) 957-2663
Enumeration date Aug 30, 2005
Last updated in NPPES Nov 21, 2011

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD10476 (OR) Primary

Authorized official

Name Frederick Black
Title President
Phone (541) 672-0497

Other identifiers

Identifier Type State Issuer
218557 Medicaid OR -

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.

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Frequently asked questions

What is the NPI number for Fred Black MD PC?
The NPI for Fred Black MD PC is 1710970330, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Fred Black MD PC?
NPPES lists Frederick Black (President) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-21.