Doctor profile · Federal record
Dr. Breanna Black, PA-C
Physician Assistant · Provo, UT
- NPI 1346972502
- 4 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1055 N 500 W Bldg A
Provo, UT 846043305
(801) 812-5033
fax (801) 418-0941 - Mailing address
-
1055 N 500 W, Attn Credentialing
Provo, UT 846043305
Credentials & registration
- NPI registered
- June 2022 — 4 yrs on file
- Profile last updated
- October 3, 2023
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Utah #13603008-1206
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1346972502. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$98
Transactions
6
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ironshore Pharmaceuticals INC. | 3 | $46.82 | |
| Abbvie INC. | 1 | $22.20 | |
| Cranial Technologies, INC | 1 | $14.94 | |
| Supernus Pharmaceuticals, INC. | 1 | $13.91 |
By nature of payment
Frequently asked questions
What is Dr. Breanna Black's medical specialty?
Dr. Breanna Black practices Physician Assistant in Provo, UT.
Where does Dr. Breanna Black practice?
Dr. Breanna Black practices at 1055 N 500 W Bldg A, Provo, UT 846043305. Office phone: 8018125033.
What is Dr. Breanna Black's NPI?
Dr. Breanna Black's National Provider Identifier (NPI) is 1346972502, issued by NPPES.