DR. BRYON BLACKWELL (D.C.) – Chiropractor, NPI 1063840585
Chiropractor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
709 CHIROPRACTIC in OR
Provider Addresses for DR. BRYON BLACKWELL (D.C.)
1946 SHERMAN AVE STE 101
NORTH BEND, OR 974593476
Phone: (541) 808-3393
Type: Mailing
320 Central Ave
501
Coos Bay, OR 974202272
Phone: (541) 203-7593
Type: Location
810 Scenic Hwy Ste A
Pensacola, FL 325036866
Phone: (850) 542-7163
Type: Location
1946 Sherman Ave Ste 101
North Bend, OR 974593476
Phone: (541) 808-3393
Type: Location
2002 Del Prado Blvd S
Suite 104
Cape Coral, FL 339904557
Phone: (230) 673-6501
Type: Location
790 ANDERSON AVE
COOS BAY, OR 974204627
Phone: (541) 224-6230
Type: Mailing
2200 US HIGHWAY 98 STE 4341
DAPHNE, AL 365264395
Phone: (251) 286-0007
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-05-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220526000440 | I | Chiropractic | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97459)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CHIROPRACTIC | FL | 98940 | Chiropractic manipulative treatment, 1-2 spinal regions | 160 | 68 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| C H I R O P R A C T I C | AL |
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