Bryan Black, MAT, LAT, ATC, CKTP
NPI 1407358377 · Athletic Trainer · Fort Wayne, IN
Bryan Black, MAT, LAT, ATC, CKTP is a Athletic Trainer provider in Fort Wayne, IN (NPI 1407358377).
Provider details
- NPI number
- 1407358377
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MAT, LAT, ATC, CKTP
- Sex
- Male
- Sole proprietor
- No
- License
- 36002703A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Registry dates
- Enumerated
- 2018-03-06
- Last updated
- 2018-03-06
Frequently asked questions
- What is Bryan Black's NPI number?
- Bryan Black's National Provider Identifier (NPI) is 1407358377, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bryan Black's specialty?
- Bryan Black is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Bryan Black located?
- Bryan Black's practice location on file with NPPES is 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808.
- What is Bryan Black's phone number?
- The practice phone number listed in the NPPES registry for Bryan Black is (517) 425-4996.
- Is Bryan Black's NPI active?
- Yes — Bryan Black's NPI (1407358377) is active in the NPPES registry as of the last update on 2018-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.