Philip Edward Bland, D.C.
Individual provider Active NPI Chiropractor · Lowell, AR
NPI 1740295609 · NPPES record last updated Oct 17, 2022
Key facts
- NPI
- 1740295609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1594 (AR)
- Practice address
- 903A N Bloomington St Ste 103
Lowell, AR 72745-9612 - Phone
- (479) 633-8917
- NPI assigned
- Jul 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
903 A N Bloomington St
Suite 103
Lowell, AR 72745-9612
Phone (479) 633-8917
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050826000548 | AR | Practitioner - Chiropractic | 1456388958 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1594 | AR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nwa Chiropractic, PA | Chiropractor | Current |
Accepting new patients |
| Twin Springs Chiropractic, PLLC | Chiropractor | Past |
Accepting new patients |
| Bland Chiropractic Office, PA | Chiropractor | Past | Accepting new patients |
| Life Family Chiropractic, PA | Chiropractor | Past | Accepting new patients |
Locations
1502 W Pleasant Grove Rd
Lowell, AR 72745
Phone (479) 633-8917
903A N Bloomington St
Ste 103
Lowell, AR 72745
Phone (479) 633-8917
2102 W Pleasant Grove Rd
Ste 2
Rogers, AR 72758
Phone (479) 633-8917
1004 S Mount Olive St
Ste L
Siloam Springs, AR 72761
Phone (479) 238-8265
119 S Broadway St
Siloam Springs, AR 72761
Phone (479) 633-8917
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1594 | AR | Yes |
Addresses
Primary practice location
903A N Bloomington St Ste 103
Lowell, AR 72745-9612
Mailing address
903A N Bloomington St Ste 103
Lowell, AR 72745-9612
Phone (479) 633-8917
Other practice location 1
119 S Broadway St
Siloam Springs, AR 72761-3127
Phone (479) 633-8917
Other providers in Lowell, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.