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DR. BRAD E. ELLISOR DC
NPI 1538333182
Chiropractor in Tenino, WA

Active since April 15, 2008Accepts Medicare Assignment
448 SUSSEX AVE E, #3, TENINO, WA 98589(360) 264-5999(369) 264-5999 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brad E. Ellisor Dc NPPES

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

DR. BRAD E. ELLISOR DC (NPI 1538333182) is an individual chiropractor in Tenino, Washington, licensed in Washington (CH00034631) and active in the NPI registry since April 2008. He is a graduate of Life Chiropractic College - West (2004).

NPPES Registry Identity

NPI1538333182
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRAD E. ELLISORCredential: DC
Location Address448 SUSSEX AVE E, #3Tenino, WA 98589-8703
Mailing AddressPo Box 14Tenino, WA 98589-0014 · (360) 481-0300 · Fax (360) 264-5999
Phone(360) 264-5999
Fax(369) 264-5999
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 2004
Enumeration DateApril 15, 2008
Last NPPES UpdateJuly 26, 2024
NPPES CertifiedJuly 26, 2024
✔ NPI 1538333182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WA · CH00034631
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.
448 SUSSEX AVE E, Tenino, WA 98589
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brad E. Ellisor Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628104445
PECOS Enrollment IDI20100331000992

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
676 services35 patients

Other Providers at the Same Location NPPES 4

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

MS. PEGGY ANN VITTORIA LMP
Massage Therapist
448 SUSSEX AVE E, #3
TENINO, WA 98589
Thurston County (360) 264-5999
R & D COULSON INC.
Clinic/Center (Health Service)
448 SUSSEX AVE E, 3
TENINO, WA 98589
Thurston County (360) 264-5999
NATURAL WELLNESS PLLC
Chiropractor
448 SUSSEX AVE E, #3
TENINO, WA 98589
Thurston County (360) 264-5999
DR. RONALD H COULSON D.C.
Chiropractor
448 SUSSEX AVE E, SUITE 3 BOX 676
TENINO, WA 98589
Thurston County (360) 264-5999

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 Brad Ellisor's NPI number?

The NPI number for Brad Ellisor is 1538333182. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Brad Ellisor located?

Brad Ellisor practices at 448 Sussex Ave E #3, Tenino, WA 98589. The listed phone number is (360) 264-5999.

What is Brad Ellisor's specialty?

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

Is Brad Ellisor enrolled in Medicare?

Yes. Brad Ellisor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brad Ellisor was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.