DR. BRADLEY JACK POLEN DC
NPI 1043894165
Chiropractor in Sandusky, OH

Active since May 06, 2021
3703 COLUMBUS AVE, SANDUSKY, OH 44870(419) 625-8085 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 19, 2021, May 6, 2021 (2 updates tracked since 2021).

About Dr. Bradley Jack Polen Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRADLEY JACK POLEN DC (NPI 1043894165) is an individual chiropractor in Sandusky, Ohio, licensed in Ohio (DC-05531) and active in the NPI registry since May 2021. He is a graduate of Logan College Of Chiropractic (2021).

NPPES Registry Identity

NPI1043894165
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRADLEY JACK POLENCredential: DC
Location Address3703 COLUMBUS AVESandusky, OH 44870-5707
Mailing Address3703 Columbus AveSandusky, OH 44870-5707 · (419) 625-8085 · Fax (419) 625-6004
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2021
Enumeration DateMay 6, 2021
Last NPPES UpdateJuly 3, 20262 updates tracked since enumeration
NPPES CertifiedJuly 3, 2026
✔ NPI 1043894165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OH · DC-05531
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3703 COLUMBUS AVE, Sandusky, OH 44870

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bradley Jack Polen Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325457054
PECOS Enrollment IDI20211006002333

Medicare Billing Reassignment

Medicare enrollment records show Bradley Polen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
3703 COLUMBUS AVE
Sandusky, OH 44870
  • Reassigned Medicare billing, Ohio enrollment
  • 21 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
3703 COLUMBUS AVE
SANDUSKY, OH 44870
Physical Therapy Assistant
3703 COLUMBUS AVE
SANDUSKY, OH 44870
Legal Medicine
3703 COLUMBUS AVE
SANDUSKY, OH 44870
Physical Therapy Assistant
3703 COLUMBUS AVE
SANDUSKY, OH 44870
Chiropractor
3703 COLUMBUS AVE
SANDUSKY, OH 44870
Nurse Practitioner (Family)
3703 COLUMBUS AVE
SANDUSKY, OH 44870
Chiropractor
3703 COLUMBUS AVE
SANDUSKY, OH 44870
Nurse Practitioner
3703 COLUMBUS AVE
SANDUSKY, OH 44870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Polen's NPI number?

The NPI number for Bradley Polen is 1043894165. It was assigned to this individual provider in the NPPES registry on May 6, 2021.

Where is Bradley Polen located?

Bradley Polen practices at 3703 Columbus Ave, Sandusky, OH 44870. The listed phone number is (419) 625-8085.

What is Bradley Polen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Bradley Polen enrolled in Medicare?

Yes. Bradley Polen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bradley Polen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Polen reassigns Medicare benefits to Sandusky Wellness Center Inc (Sandusky, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bradley Polen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bradley Polen accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Medica and UnitedHealthcare list Bradley Polen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradley Polen was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.