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Provider Profile

Breanna B. Black, PA-C

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At a glance

About Breanna Black

Breanna B. Black, PA-C is a physician assistant practicing in Provo, UT. This provider record is associated with NPI 1346972502.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

UT licenceAs reported to the NPI registry
No. 13603008-1206As reported
NPINational Provider Identifier
1346972502Issued 2022

As reported to the NPI registry ↗

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Breanna B. Black's specialty?

Breanna B. Black is a physician assistant in Provo, UT. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Breanna B. Black?

Breanna B. Black is listed at 1055 N 500 W Bldg A, Provo, UT 84604. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Breanna B. Black?

The number on file is (801) 812-5033. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Breanna B. Black's NPI number?

Breanna B. Black's National Provider Identifier is 1346972502. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Breanna B. Black been practicing?

Breanna B. Black has 4+ years experience. Registered with an NPI since 2022. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Breanna B. Black confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Breanna B. Black. If this is you, claiming it is free.

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