BRENT BLACKBURN MD
NPI 1548669823
Family Medicine in Texarkana, AR
About Brent Blackburn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENT BLACKBURN MD (NPI 1548669823) is an individual family medicine provider in Texarkana, Arkansas, licensed in Arkansas (E19988) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Brent Blackburn Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Brent Blackburn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Camden, AR 71701
- Reassigned Medicare billing, Arkansas enrollment
- 100 clinicians in this Medicare group
El Dorado, AR 71730
- Reassigned Medicare billing, Arkansas enrollment
- 88 clinicians in this Medicare group
El Dorado, AR 71730
- Reassigned Medicare billing, Arkansas enrollment
- 103 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus St Michael Health System
Acute Care Hospitals · Texarkana, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71854 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TEXARKANA, AR 71854
TEXARKANA, AR 71854
TEXARKANA, AR 71854
TEXARKANA, AR 71854
TEXARKANA, AR 71854
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 Brent Blackburn's NPI number?
The NPI number for Brent Blackburn is 1548669823. It was assigned to this individual provider in the NPPES registry on August 22, 2014.
Where is Brent Blackburn located?
Brent Blackburn practices at 3417 U Of A Way, Texarkana, AR 71854. The listed phone number is (870) 779-6000.
What is Brent Blackburn's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Brent Blackburn enrolled in Medicare?
Yes. Brent Blackburn 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 organizations bill Medicare for Brent Blackburn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brent Blackburn reassigns Medicare benefits to 3 organizations: Ouachita County Medical Center (Camden, AR), Hcc Of El Dorado LLC (El Dorado, AR) and Ess Of El Dorado, LLC (El Dorado, AR). Each 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 Brent Blackburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brent Blackburn accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Brent Blackburn 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.
Is Brent Blackburn affiliated with any hospitals?
According to CMS data, Brent Blackburn is affiliated with Christus St Michael Health System.
When was this NPI record last updated?
The NPPES record for Brent Blackburn was last updated on October 28, 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.
# Brent Blackburn, MD · NPI 1548669823
Family Medicine physician in Texarkana, Arkansas. Individual provider, active in the CMS NPPES registry since August 22, 2014.
## Identity
- **NPI:** 1548669823 (Entity type: Individual)
- **Enumerated:** August 22, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** E19988 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3417 U OF A WAY, Texarkana, AR 71854-1419
- **Phone:** (870) 779-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ouachita County Medical Center (NPI 1346354826, Camden, AR); Hcc Of El Dorado LLC (NPI 1003578725, El Dorado, AR); Ess Of El Dorado, LLC (NPI 1861851131, El Dorado, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1548669823) · Data from the CMS NPPES public registry.