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

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: November 01, 2026.

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

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.

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
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 Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

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).

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.

Medicare Billing Reassignment

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

Arkansas Childrens Professional Services Organization LLC
145 mi
Pediatrics
1 CHILDRENS WAY
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 653 clinicians in this Medicare group
NPI 1629889464 (501) 364-2526

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

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)
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6800
ABIGAIL STOVER MS, RD, LD
Dietitian, Registered
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6909
JEFFREY DALE GRILLS MD
Pediatrics
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6977
DR. KELLY DAWN MATTIX MD
Surgery (Pediatric Surgery)
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6800
MARY CATHERINE HOWELL AUD
Audiologist
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6904
CASIE MARIE JAMES MD
Pediatrics
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6866
DR. SARAH MORRIS WESTON M.D.
Pediatrics (Pediatric Emergency Medicine)
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6977
SARA REED M.D./PH.D.
Pediatrics
2601 GENE GEORGE BLVD
SPRINGDALE, AR 72762
Washington County (479) 725-6801

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 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.

Where is Bryce Vance located?

Bryce Vance practices at 2601 Gene George Blvd, Springdale, AR 72762. The listed phone number is (479) 309-5391.

What is Bryce Vance's specialty?

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

Is Bryce Vance enrolled in Medicare?

Yes. Bryce Vance is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bryce Vance's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryce Vance reassigns Medicare benefits to Arkansas Childrens Professional Services Organization LLC (Little Rock, AR). 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 Bryce Vance's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryce Vance accept?

Health plans from Health Advantage and Octave list Bryce Vance as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryce Vance was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.