DR. BRYCE ALSTON VANCE D.O. NPI 1104213412

NPI Information

  • NPI: 1104213412
  • Provider Name: DR. BRYCE ALSTON VANCE, D.O.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2601 GENE GEORGE BLVD
    SPRINGDALE, AR
    ZIP 72762
  • Phone: (479) 309-5391

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NPI Details

DR. Bryce Alston Vance, D.O. is an adolescent medicine pediatrics in Springdale, AR with 11 years of experience. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. DR. Bryce Alston Vance, D.O. NPI is 1104213412. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduation Year:2015

The provider's business location address is:

2601 GENE GEORGE BLVD
SPRINGDALE, AR
ZIP 72762-845
Phone: (479) 309-5391
Fax: (479) 725-6582

The NPI 1104213412 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/24/2015 and was last updated on 10/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsDR.0059282COLORADONo
22080A0000XPediatricsAdolescent MedicineE-19652ARKANSASYes
3208000000XPediatricsE-19652ARKANSASNo
42080A0000XPediatricsAdolescent MedicineDR.0059282COLORADONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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