Bryan Paul Blackwell, CHC
Individual provider Active NPI Health & Wellness Coach · Yucca Valley, CA
NPI 1356035604 · NPPES record last updated Jun 7, 2023
Key facts
- NPI
- 1356035604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health & Wellness Coach 171400000X
- Practice address
- 6801 Sioux Ave
Yucca Valley, CA 92284-2679 - Phone
- (760) 895-8233
- NPI assigned
- Jun 7, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | NY | Yes |
Addresses
Primary practice location
6801 Sioux Ave
Yucca Valley, CA 92284-2679
Mailing address
6801 Sioux Ave
Yucca Valley, CA 92284-2679
Phone (760) 895-8233
Other providers in Yucca Valley, CA
- Tricia Biddle
- Cara Lyn Bigornia
- Patrick Billings
- Roy F Billings
- Jouise Black
- Stacey Michele Blackwell
- Blue Orthopedic Institute
- Dawn Irene Blue
- Julie K Botts
- Victoria Celeste Bourdon
All providers in Yucca Valley, CA · Health & Wellness Coach in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.