DR. BRYCE ALSTON VANCE D.O.
NPI 1104213412
Pediatrics - Adolescent Medicine in Springdale, AR

Q: What is Bryce Vance's NPI number?

The NPI number for Bryce Vance is 1104213412. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Q: What is Bryce Vance's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Bryce Vance was last updated on October 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 24, 2015PECOS Enrolled

2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762(479) 309-5391(479) 725-6582 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2025, Aug 11, 2021, Jul 3, 2021 and 2 more (5 updates tracked since 2018).

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About Dr. Bryce Alston Vance D.o. NPPES

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

DR. BRYCE ALSTON VANCE D.O. (NPI 1104213412) is an individual adolescent medicine provider in Springdale, Arkansas, licensed in Arkansas (E-19652) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Rocky Vista University College Of Osteopathic Med (2015).

NPPES Registry Identity

NPI1104213412

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameDR. BRYCE ALSTON VANCECredential: D.O.

Location Address2601 GENE GEORGE BLVDSpringdale, AR 72762-0845

Mailing Address2601 Gene George BlvdSpringdale, AR 72762-0845 · (479) 309-5391 · Fax (479) 725-6582

Phone(479) 309-5391

Fax(479) 725-6582

Sole ProprietorYes

Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2015

Enumeration DateApril 24, 2015

Last NPPES UpdateOctober 23, 20255 updates tracked since enumeration

NPPES CertifiedOctober 23, 2025

✔ NPI 1104213412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Licenses✔ Licensed in AR · E-19652✔ Licensed in CO · DR.0059282

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedPediatricsTaxonomy 208000000X · License DR.0059282 (CO), E-19652 (AR)

2601 GENE GEORGE BLVD, Springdale, AR 72762

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bryce Alston Vance D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406271865

PECOS Enrollment IDI20250820001314

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. ROBERT CATON BAKER MD

Anesthesiology (Pediatric Anesthesiology)