Individual provider Active NPI

Brian T Blackman, DNP

  • Family Nurse Practitioner
  • Klamath Falls, OR
National Provider Identifier
1356173850
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10009263 Issued in OR
Practice address
2074 S 6TH St
Klamath Falls, OR 97601-3372
Phone
(541) 851-8110
Fax
(541) 851-8114
NPI assigned
Aug 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10009263 OR Primary

Addresses

Primary practice location

2074 S 6TH St
Klamath Falls, OR 97601-3372

Mailing address

2074 S 6TH St
Klamath Falls, OR 97601-3372
Phone (541) 851-8110

Other practice location 1

403 Pine St
Klamath Falls, OR 97601-6020
Phone (541) 851-8110

Other practice location 2

103 S Wasco Ave
Chiloquin, OR 97624-7002
Phone (541) 783-2292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911004008 OR Practitioner - Nurse Practitioner 8921548371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Klamath Health Partnership IncGroup PAC ID 2264334051, 22 clinicians

Practice addresses (Care Compare)

403 Pine St
Klamath Falls, OR 97601-6020
Phone (541) 851-8110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Klamath Health Partnership Inc CurrentSince Aug 19, 2024 Accepting new patients

Locations

403 Pine St
Klamath Falls, OR 97601
Phone (541) 851-8110

2074 S 6th St
Klamath Falls, OR 97601
Phone (541) 851-8110

3013 Summers Ln
Klamath Falls, OR 97603
Phone (541) 880-2011

Interoperability endpoints

  • Direct secure messaging: brian.blackman@khp.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1356173850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013372",
            "telephone_number": "541-851-8110",
            "fax_number": "541-851-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013372",
            "telephone_number": "541-851-8110",
            "fax_number": "541-851-8114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Pine St",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976016020",
            "country_code": "US",
            "telephone_number": "541-851-8110",
            "fax_number": "541-885-5512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 S Wasco Ave",
            "address_purpose": "LOCATION",
            "city": "Chiloquin",
            "state": "OR",
            "postal_code": "976247002",
            "country_code": "US",
            "telephone_number": "541-783-2292",
            "fax_number": "541-885-5512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKMAN",
        "first_name": "BRIAN",
        "middle_name": "T",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-14",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10009263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.