Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN CHRISTOPHER BLACKER, M.D.
ActivePediatrics · FORT MADISON, IA
Registration Details
- NPI Number
- 1528590189
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2017 (9.1203439907615 yrs)
- Last Updated
- Dec 20, 2024
- License
-
MD-47016 (IA)
Practice Information
- Address
-
5409 AVENUE O STE 121FORT MADISON, IA, 526279673Browse IA providers · Browse ZIP 52627
- Phone
- 3193725437
- Fax
- 3193762719
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in FORT MADISON, IA
| Name | Credential | NPI |
|---|---|---|
| SUSAN E TEGGATZ | MD | 1578542668 |
| CURT C. MCCLELLAN | DO | 1558331389 |
| KOLLEEN BURNETT | — | 1326131665 |
| GREGORY F GORSKI | M.D. | 1073707345 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.