BRYAN CHRISTOPHER BLACKER M.D.
NPI 1528590189
Pediatrics in Fort Madison, IA

Active since March 31, 2017PECOS Enrolled
5409 AVENUE O STE 121, FORT MADISON, IA 52627(319) 372-5437(319) 376-2719 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 20, 2024, Mar 31, 2017 (2 updates tracked since 2017).

About Bryan Christopher Blacker M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN CHRISTOPHER BLACKER M.D. (NPI 1528590189) is an individual pediatrics provider in Fort Madison, Iowa, licensed in Iowa (MD-47016) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528590189
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBRYAN CHRISTOPHER BLACKERCredential: M.D.
Location Address5409 AVENUE O STE 121Fort Madison, IA 52627-9673
Mailing Address1501 Indian School Rd Ne Apt D105Albuquerque, NM 87102-1641 · (505) 377-2773
Fax(319) 376-2719
Sole ProprietorNo
Enumeration DateMarch 31, 2017
Last NPPES UpdateDecember 20, 20242 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
NPI 1528590189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IA · MD-47016
Definition

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.

5409 AVENUE O STE 121, Fort Madison, IA 52627

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Bryan Christopher Blacker M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52627 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528590189, enumerated as an "individual" on March 31, 2017.

The provider is located at 5409 AVENUE O STE 121 FORT MADISON, IA 52627 and the phone number is (319) 372-5437.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.