Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528590189 Individual Practitioner Male Practitioner

Dr. Bryan Christopher Blacker , MD

Pediatrics • Fort Madison, IA

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Blacker, MD is a registered healthcare professional specializing in Pediatrics in Fort Madison, IA. Practice services are available at 5409 AVENUE O STE 121 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5409 Avenue O Ste 121

Fort Madison, IA 526279673

Telephone 3193725437
Fax 3193762719

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Madison, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Fort Madison, IA (522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-12-20
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IA MD-47016

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Regan Stellern , CPNP-PC, DNP

Nurse Practitioner - Pediatrics

NPI 1205615416

CPNPPC, Doctor of Nursing Practice

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 20, 2024

Registered at 5409 AVENUE O STE 121, FORT MADISON, IA 526279673 (Tel: 3193725437)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2024

Pediatrics (License #MD-47016 in IA)

NPI Profile Active March 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2017

Registered at 1400 W 22ND ST, SIOUX FALLS, SD 571051554 (Tel: 6053337197)

📍
Updated Business Mailing Address March 31, 2017

Registered at 1501 INDIAN SCHOOL RD NE APT D105, ALBUQUERQUE, NM 871021641 (Tel: 5053772773)

👤
Provider Name / Credentials Updated March 31, 2017

Recorded as BRYAN BLACKER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2017

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 31, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528590189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2017
Last Update: December 20, 2024
Sole Proprietor: No

Mailing Address

1501 Indian School Rd Ne Apt D105

Albuquerque, NM 871021641

Phone: 5053772773

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.