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BRENT BLACKBURN MD
NPI 1548669823
Family Medicine in Texarkana, AR

Active since August 22, 2014PECOS EnrolledAccepts Medicare Assignment
3417 U OF A WAY, TEXARKANA, AR 71854(870) 779-6000 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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

NPI1548669823
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRENT BLACKBURNCredential: MD
Location Address3417 U OF A WAYTexarkana, AR 71854-1419
Mailing Address3417 U Of A WayTexarkana, AR 71854-1419 · (870) 779-6000
Phone(870) 779-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 22, 2014
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1548669823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · E19988
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License A004186 (AR)
3417 U OF A WAY, Texarkana, AR 71854
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID2567684400
PECOS Enrollment IDI20260303003526
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.

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, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450801
Location2600 St Michael DrTexarkana, TX 75503 · Bowie County
Emergency services Birthing friendly

Physician 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.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AUTUMN MISHA BROWN MD
Family Medicine
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000
DR. JOSEPH EUGENE MOORE MD
Student in an Organized Health Care Education/Training Program
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000
DR. ENITAN OMOWUNMI MARTINS M.D.
Student in an Organized Health Care Education/Training Program
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000
ADEBOYE OPEOLUWA GRILLO MD
Student in an Organized Health Care Education/Training Program
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Family Medicine
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000
LIN-CHIANG TSENG DO
Student in an Organized Health Care Education/Training Program
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000
KENNETH GEORGE ROSS M.D.
Family Medicine
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000
DR. TRAVIS CHIN MD
Student in an Organized Health Care Education/Training Program
3417 U OF A WAY
TEXARKANA, AR 71854
Miller County (870) 779-6000

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.

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 11 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.