DR. BRYON BLACKWELL D.C.
NPI 1063840585
Chiropractor in Coos Bay, OR

Active since October 18, 2013Accepts Medicare Assignment
790 ANDERSON AVE, COOS BAY, OR 97420(541) 224-6230 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2020, Mar 16, 2020, Mar 26, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Bryon Blackwell D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRYON BLACKWELL D.C. (NPI 1063840585) is an individual chiropractor in Coos Bay, Oregon, licensed in Oregon (5647) and active in the NPI registry since October 2013. He maintains 4 additional practice locations and is a graduate of Palmer College Chiropractic - Davenport (2013).

NPPES Registry Identity

NPI1063840585
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRYON BLACKWELLCredential: D.C.
Location Address790 ANDERSON AVECoos Bay, OR 97420-4627
Mailing Address790 Anderson AveCoos Bay, OR 97420-4627 · (541) 224-6230
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2013
Enumeration DateOctober 18, 2013
Last NPPES UpdateFebruary 12, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1063840585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OR · 5647
Definition
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.
790 ANDERSON AVE, Coos Bay, OR 97420

Secondary Practice Locations 4

Location 1320 Central Ave, 501Coos Bay, OR 97420-2272 · Phone (541) 203-7593
Location 2810 Scenic Hwy Ste APensacola, FL 32503-6866 · Phone (850) 542-7163
Location 32002 Del Prado Blvd S, Suite 104Cape Coral, FL 33990-4557 · Phone (230) 673-6501
Location 41946 Sherman Ave Ste 101North Bend, OR 97459-3476 · Phone (541) 808-3393

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bryon Blackwell D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931335007
PECOS Enrollment IDI20220526000440

Medicare Billing Reassignment

Medicare enrollment records show Bryon Blackwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sports Physician
28190 N MAIN ST STE A
Daphne, AL 36526
  • Reassigned Medicare billing, Alabama enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
148 services28 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
790 ANDERSON AVE
COOS BAY, OR 97420
Chiropractor
790 ANDERSON AVE
COOS BAY, OR 97420
Chiropractor
790 ANDERSON AVE
COOS BAY, OR 97420
Chiropractor (Rehabilitation)
790 ANDERSON AVE
COOS BAY, OR 97420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryon Blackwell's NPI number?

The NPI number for Bryon Blackwell is 1063840585. It was assigned to this individual provider in the NPPES registry on October 18, 2013.

Where is Bryon Blackwell located?

Bryon Blackwell practices at 790 Anderson Ave, Coos Bay, OR 97420. The listed phone number is (541) 224-6230.

What is Bryon Blackwell's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Bryon Blackwell enrolled in Medicare?

Yes. Bryon Blackwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bryon Blackwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryon Blackwell reassigns Medicare benefits to Family Chiropractic And Health Center, P.C. (Daphne, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryon Blackwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bryon Blackwell was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.