Active NPI
Bryon Blackwell, D.C.
- Chiropractor
- Coos Bay, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5647
- Practice address
- 790 Anderson Ave
Coos Bay, OR 97420-4627 - Phone
- (541) 224-6230
- NPI assigned
- Oct 18, 2013
- Last updated
- Feb 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5647 | OR | MD | Dental Hygienist |
| 2691 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baaake | Current | Accepting new patients | |
| Family Chiropractic and Health Center, P.C. | Single Specialty | Current | Accepting new patients |
| Anchor Chiropractic LLC | Single Specialty | Past | 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.
-
- Sports Physician Chiropractor
- Daphne, AL
- NPI 1396811626
Single Specialty
-
- Clinic/Center
- Coos Bay, OR
- NPI 1336014802
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.