DR. BRYON BLACKWELL (NPI# 1063840585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063840585 |
| Entity Type | Individual |
| Full Name | DR. BRYON BLACKWELL |
| Credential | D.C. |
| Practice Address |
1946 Sherman Ave Ste 101 North Bend OR 97459-3476 |
| Practice Telephone | 5418083393 |
| Mailing Telephone | 5418083393 |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2020-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH12752 | FL | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2002 Del Prado Blvd S, Suite 104, Cape Coral, FL 339904557 | 2306736501 | |
| 320 Central Ave, 501, Coos Bay, OR 974202272 | 5412037593 | |
| 810 Scenic Hwy Ste A, Pensacola, FL 325036866 | 8505427163 |
| Street Address |
1946 SHERMAN AVE STE 101 |
| City | NORTH BEND |
| State | OR |
| Zip Code | 97459-3476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437785086 | Baaak Group Inc | Clinic/Center | 1946 Sherman Ave Ste 101, North Bend, OR 97459-3476 | 2020-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| 1629573977 | Heather M Coates | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459 | 2018-03-28 |
| 1205257219 | Melissa Sperry | Health Educator | 510 Lockhart Street, North Bend, OR 97459 | 2013-12-17 |
| 1265862627 | Elizabeth Sylvester | Counselor | 1592 Monroe Street, North Bend, OR 97459 | 2013-11-22 |
| 1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
| 1295081230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3411 Broadway St, North Bend, OR 97459 | 2012-07-27 |
| 1366728370 | Melissa Jean Kovach | Occupational Therapy Assistant | 3959 Sheridan Ave., North Bend, OR 97459 | 2011-10-24 |
| 1295045052 | Mary Kay Weikel | Massage Therapist | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | 2010-10-14 |
| 1902080013 | Anthony Eugene Baldacci | Registered Nurse | 1836 Meade Street, North Bend, OR 97459 | 2007-12-26 |
| 1952595340 | Inland Point Senior Estates Jv LLC | Clinic/Center | 2265 Inland Drive, North Bend, OR 97459 | 2007-08-29 |
| Find all providers in zip 97459 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306147251 | Kimberly Anne Kohr | Chiropractor | 249 Main Ave S, B1, North Bend, WA 98045-8177 | 2010-11-09 |
| 1134339658 | Alpine Chiropractic Center Inc | Chiropractor | 118 Downing Ave N, North Bend, WA 98045-8301 | 2007-05-23 |
| 1578694717 | Jill Dianne Massengill | Chiropractor | 249 Main Ave. S., Suite B, North Bend, WA 98045 | 2007-03-08 |
| 1265569198 | Leslie Bedell | Chiropractor | 145 E 3rd St, North Bend, WA 98045-8144 | 2007-02-27 |
| 1588729693 | Gereg A Pfiffner | Chiropractor | 418 East North Bend Way, North Bend, WA 98045 | 2006-12-27 |
| 1841355252 | Robert Michael Richards | Chiropractor | 2184 Broadway St, North Bend, OR 97459-2330 | 2006-12-26 |
| 1174699680 | Rick Charles White | Chiropractor | 1611 Virginia Ave, Ste 117, North Bend, OR 97459 | 2006-11-27 |
| 1841360674 | Matthew David Miller | Chiropractor | 325 East Third Street, North Bend, WA 98045 | 2006-11-09 |
| 1447349592 | Bradley Donald Kaasa | Chiropractor | 325 E 3rd St, North Bend, WA 98045-8250 | 2006-10-12 |
| 1184720229 | Michael Patrick Bartell | Chiropractor | 2182 Broadway Ave, North Bend, OR 97459-2330 | 2006-09-16 |
| Find all providers in NORTH BEND | ||||
| City | NORTH BEND |
| Zip Code | 97459 |
Please comment or provide details below to improve the information on DR. BRYON BLACKWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.