Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Robert E Black, ATC

Individual provider Athletic Trainer · NPI 1053301887

Mr. Robert E Black, ATC is an Athletic Trainer in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1001 E 17th St
Bloomington, IN 47408-1590
Phone: (812) 856-2225
Fax: (812) 855-1810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36000062A (IN)

Record details

NPI number1053301887
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESJuly 13, 2026
Mailing address1207 W Wintersweet Ct, Bloomington, IN 47404-1827

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