FRED BLACK MD PC – Family Medicine Physician, NPI 1710970330

FRED BLACK MD PC is a healthcare provider. based in Roseburg, Oregon. specializing in Family Medicine Physician. The organization holds a License No. MD10476 (OR). The NPI Number for FRED BLACK MD PC is 1710970330

Main info

Organization
Name
FRED BLACK MD PC
NPI
1710970330
Phone
(541) 672-0497
Address
2282 NW TROOST ST
Authorized Official
FREDERICK J BLACK PRESIDENT MD
Enumeration Date
30 August 2005
Last Update Date
21 November 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for FRED BLACK MD PC

  • 2282, Northwest Troost Street, Roseburg, Douglas County, Oregon, 97471, United States

    SUITE 103

    ROSEBURG, OR 974716071

    Phone: (541) 672-0497

    Fax: (541) 957-2663

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97471)

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Reviews

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Frequently asked questions

Is there an official ID for FRED BLACK MD PC in U.S. healthcare records?
The official identifier for FRED BLACK MD PC is NPI 1710970330.
Is there an active status for FRED BLACK MD PC?
For scheduling context, FRED BLACK MD PC is shown as active in the registry.
What clinical focus is listed for FRED BLACK MD PC?
At a glance, FRED BLACK MD PC is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Oregon is FRED BLACK MD PC registered?
Use Roseburg, Oregon as the headline location for FRED BLACK MD PC here.
Can I trust this NPI listing for FRED BLACK MD PC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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