OrganizationActive
Fred Black MD PC
NPI 1710970330 · Family Medicine Physician · Roseburg, OR
Provider details
- NPI number
- 1710970330
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Frederick Black, President(541) 672-0497
- License
- MD10476 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2282 Nw Troost St
Suite 103
Roseburg, OR 97471-6071
Phone: (541) 672-0497
Fax: (541) 957-2663
Street-level locationGet directions
Mailing address
2282 Nw Troost St
Roseburg, OR 97471-6071
Registry dates
- Enumerated
- 2005-08-30
- Last updated
- 2011-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.