IndividualActive
Bryan Blacker, M.D.
NPI 1528590189 · Pediatrics Physician · Fort Madison, IA
Provider details
- NPI number
- 1528590189
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD-47016 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
5409 Avenue O Ste 121
Fort Madison, IA 52627-9673
Phone: (319) 372-5437
Fax: (319) 376-2719
Street-level locationGet directions
Mailing address
1501 Indian School Rd Ne Apt D105
Albuquerque, NM 87102-1641
Registry dates
- Enumerated
- 2017-03-31
- Last updated
- 2024-12-20
- Certified
- 2024-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.