1. Home
  2. Directory
  3. Pennsylvania
  4. State College
  5. Chiropractor
  6. NPI Profile

BRADLEY D. ENNIS,DC
NPI 1235780909
Chiropractor in State College, PA

Active since September 24, 2019
1526 N ATHERTON ST STE 200, STATE COLLEGE, PA 16803(814) 237-5220(412) 291-3381 Get Directions Write a Review

NPPES record last updated: October 14, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2019, Sep 25, 2019 (2 updates tracked since 2019).

About Bradley D. Ennis,dc NPPES

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

BRADLEY D. ENNIS,DC (NPI 1235780909) is a healthcare organization registered as a chiropractor in State College, Pennsylvania and active in the NPI registry since September 2019. The organization lists Bradley D Ennis, Provider, as its authorized official.

NPPES Registry Identity

NPI1235780909
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameENNIS STRAIGHT CHIROPRACTIC CENTER
Location Address1526 N ATHERTON ST STE 200State College, PA 16803-3041
Mailing Address1526 N Atherton St Ste 200State College, PA 16803-3041 · (814) 353-1217 · Fax (412) 291-3381
Phone(814) 237-5220
Fax(412) 291-3381
Organization SubpartNo
Authorized OfficialBradley D EnnisProvider · (814) 404-4046
Enumeration DateSeptember 24, 2019
Last NPPES UpdateOctober 14, 20192 updates tracked since enumeration
✔ NPI 1235780909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1526 N ATHERTON ST STE 200, State College, PA 16803
Open in Google Maps ↗

Other Names 1

Other NameBradley D. Ennis,dc

Other Identifiers 2

Other347952PA · Bcbs
Other03081900PA · Capital Bcbs

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)

Bradley D. Ennis,dc 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 Bradley D. Ennis,dc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bradley Ennis, DC
Chiropractic
NPI 1699886390
1526 N ATHERTON ST STE 200
State College, PA 16803
(814) 237-5220
Same address

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 Ennis Straight Chiropractic Center's NPI number?

The NPI number for Ennis Straight Chiropractic Center is 1235780909. It was assigned to this organization in the NPPES registry on September 24, 2019. The provider is also known as Bradley D. Ennis,dc.

Where is Ennis Straight Chiropractic Center located?

Ennis Straight Chiropractic Center is located at 1526 N Atherton St Ste 200, State College, PA 16803. The listed phone number is (814) 237-5220.

What is Ennis Straight Chiropractic Center's specialty?

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

Is Ennis Straight Chiropractic Center enrolled in Medicare?

Yes. Ennis Straight Chiropractic Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ennis Straight Chiropractic Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Ennis Straight Chiropractic Center. 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 Ennis Straight Chiropractic Center was last updated on October 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.