Individual provider Active NPI

Bryon Blackwell, D.C.

  • Chiropractor
  • Coos Bay, OR
National Provider Identifier
1063840585
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5647 Issued in OR
Practice address
790 Anderson Ave
Coos Bay, OR 97420-4627
Phone
(541) 224-6230
NPI assigned
Oct 18, 2013
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5647 OR Primary

Addresses

Primary practice location

790 Anderson Ave
Coos Bay, OR 97420-4627

Mailing address

790 Anderson Ave
Coos Bay, OR 97420-4627
Phone (541) 224-6230

Other practice location 1

320 Central Ave
501
Coos Bay, OR 97420-2272
Phone (541) 203-7593

Other practice location 2

810 Scenic Hwy Ste A
Pensacola, FL 32503-6866
Phone (850) 542-7163

Other practice location 3

2002 Del Prado Blvd S
Suite 104
Cape Coral, FL 33990-4557
Phone (230) 673-6501

Other practice location 4

1946 Sherman Ave Ste 101
North Bend, OR 97459-3476
Phone (541) 808-3393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220526000440 AL Practitioner - Chiropractic 9931335007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic and Health Center, P.C.Group PAC ID 4183646664, 2 clinicians

Practice addresses (Care Compare)

28190 N Main St
Suite a
Daphne, AL 36526-7039
Phone (251) 621-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5647ORMDDental Hygienist
2691ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baaake Current Accepting new patients
Family Chiropractic and Health Center, P.C. Single Specialty CurrentSince May 1, 2024 Accepting new patients
Anchor Chiropractic LLC Single Specialty PastSince May 1, 2024 Accepting new patients

Locations

28190 N Main St
Ste A
Daphne, AL 36526
Phone (205) 621-0700

790 Anderson Ave
Coos Bay, OR 97420
Phone (541) 756-0525

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1063840585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 ANDERSON AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204627",
            "telephone_number": "541-224-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 ANDERSON AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204627",
            "telephone_number": "541-224-6230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Central Ave",
            "address_2": "501",
            "address_purpose": "LOCATION",
            "city": "Coos Bay",
            "state": "OR",
            "postal_code": "974202272",
            "country_code": "US",
            "telephone_number": "541-203-7593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Scenic Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325036866",
            "country_code": "US",
            "telephone_number": "850-542-7163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2002 Del Prado Blvd S",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339904557",
            "country_code": "US",
            "telephone_number": "230-673-6501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1946 Sherman Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "OR",
            "postal_code": "974593476",
            "country_code": "US",
            "telephone_number": "541-808-3393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "BRYON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-18",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coos Bay, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.