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BACK MOUNTAIN CHIROPRACTIC CENTER
NPI 1083601702
Chiropractor in Dallas, PA

Active since September 29, 2005
217 MEMORIAL HWY, DALLAS, PA 18612(570) 675-1190(570) 675-5885 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Back Mountain Chiropractic Center NPPES

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

BACK MOUNTAIN CHIROPRACTIC CENTER (NPI 1083601702) is a healthcare organization registered as a chiropractor in Dallas, Pennsylvania and active in the NPI registry since September 2005. The organization lists Bradley E Bryant, President Bmcc, as its authorized official.

NPPES Registry Identity

NPI1083601702
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBRADLEY E BRYANT DC PC
Location Address217 MEMORIAL HWYDallas, PA 18612-1232
Mailing Address217 Memorial HwyDallas, PA 18612-1232 · (570) 675-1190 · Fax (570) 675-5885
Phone(570) 675-1190
Fax(570) 675-5885
Organization SubpartNo
Authorized OfficialBradley E BryantPresident Bmcc · (570) 675-1190
Enumeration DateSeptember 29, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1083601702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC-007608-L
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.
217 MEMORIAL HWY, Dallas, PA 18612
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Other Names 1

Doing Business AsBack Mountain Chiropractic Center

Other Identifiers 1

OtherBA881741PA · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Back Mountain Chiropractic Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Back Mountain Chiropractic Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bradley Bryant, D.C.
Chiropractic
NPI 1285784660
2317 MEMORIAL HWY
Dallas, PA 18612
(570) 675-1190
✔ Accepts Medicare1.6 mi

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

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 E Bryant Dc PC's NPI number?

The NPI number for Bradley E Bryant Dc PC is 1083601702. It was assigned to this organization in the NPPES registry on September 29, 2005. The provider is doing business as Back Mountain Chiropractic Center.

Where is Bradley E Bryant Dc PC located?

Bradley E Bryant Dc PC is located at 217 Memorial Hwy, Dallas, PA 18612. The listed phone number is (570) 675-1190.

What is Bradley E Bryant Dc PC's specialty?

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

Is Bradley E Bryant Dc PC enrolled in Medicare?

Yes. Bradley E Bryant Dc PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bradley E Bryant Dc PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Bradley E Bryant Dc PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bradley E Bryant Dc PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.