Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ryan Madsen Black, DO

Individual provider Emergency Medicine Physician · NPI 1780945832

Dr. Ryan Madsen Black, DO is an Emergency Medicine in Farmington Hills, Michigan. Qualified in 2012, 14 years ago. Practices with Utah Emergency Physicians, a 149-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2012
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

28050 Grand River Ave
Farmington Hills, MI 48336-5919 Not confirmed with CMS for 14 years — call before visiting
Phone: (248) 471-8822
Fax: (248) 471-8837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101019906 (MI)

Record details

NPI number1780945832
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 5, 2012
Last updated in NPPESJune 5, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Utah Emergency Physicians — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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