Bryon G Blackwell (NPI# 1063840585, PAC ID# 9931335007) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1063840585 |
| PAC ID by PECOS | 9931335007 |
| Professional Enrollment ID | I20160411000970 |
| Full Name | Bryon G Blackwell |
| Address |
2582 Broadway Ave North Bend OR 97459-1635 |
| Phone Number | 5412174093 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2013 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 632 Anderson Ave, Coos Bay, OR 97420-1632 | 5412692525 | BAY AREA CHIROPRACTIC CENTER LLC |
| 2582 Broadway Ave, North Bend, OR 97459-1635 | 5412174093 |
| Street Address |
2582 BROADWAY AVE |
| City | NORTH BEND |
| State | OR |
| Zip | 97459-1635 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard S Roberts | Oral Surgery | 3500 Cedar St, North Bend, OR 97459-1108 | |
| Melody L Sheldon | Qualified Speech Language Pathologist | 2085 Inland Dr A, North Bend, OR 97459-1203 | |
| William A Bennett | Podiatry | 2085 Inland Dr, Suite B, North Bend, OR 97459-1203 | |
| Ronald M St Jean | Clinical Social Worker | Waterfall Clinic Incorporated | 1950 Waite St, North Bend, OR 97459-1228 |
| Kathleen Emma Voge | Clinical Social Worker | Waterfall Clinic Incorporated | 1950 Waite St, North Bend, OR 97459-1228 |
| Shirley D Reynolds | Nurse Practitioner | Waterfall Clinic Incorporated | 1890 Waite St, Suite 1, North Bend, OR 97459-1229 |
| Pernilla Johansson | Clinical Social Worker | Waterfall Clinic Incorporated | 1890 Waite St, North Bend, OR 97459-1229 |
| David W Walker | Nurse Practitioner | Waterfall Clinic Incorporated | 1890 Waite St, North Bend, OR 97459-1229 |
| Pei J Purdom | Nurse Practitioner | Waterfall Clinic Incorporated | 1890 Waite St, Suite 1, North Bend, OR 97459-1229 |
| Yvonne L Fenrich | Nurse Practitioner | Waterfall Clinic Incorporated | 1890 Waite St, Suite 1, North Bend, OR 97459-1229 |
| Find all physicians in zip 97459 | |||
| City | NORTH BEND |
| Zip Code | 97459 |
| Specialty | CHIROPRACTIC |
| City + Specialty | NORTH BEND + CHIROPRACTIC |
Please comment or provide details below to improve the information on Bryon G Blackwell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.