DR. BRADLEY D ENNIS DC
NPI 1699886390
Chiropractor in State College, PA

Active since August 31, 2006
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: September 25, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Bradley D Ennis Dc NPPES

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

DR. BRADLEY D ENNIS DC (NPI 1699886390) is an individual chiropractor in State College, Pennsylvania, licensed in Pennsylvania (DC007593L) and active in the NPI registry since August 2006. He maintains a secondary practice location in State College and is a graduate of Sherman College Of Straight Chiropractic (1999).

NPPES Registry Identity

NPI1699886390
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRADLEY D ENNISCredential: DC
Location Address1526 N ATHERTON ST STE 200State College, PA 16803
Mailing Address1526 N Atherton St Ste 200State College, PA 16803-3041 · (814) 237-5220 · Fax (412) 291-3381
Fax(412) 291-3381
Sole ProprietorYes
Medical School CMSSherman College Of Straight ChiropracticGraduated 1999
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 25, 2019
NPI 1699886390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in PA · DC007593L
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

Secondary Practice Location 1

Location 11526 N Atherton St Ste 200State College, PA 16803 · Phone (814) 237-5220 · Fax (412) 291-3381

Other Identifiers 2

Other03081900Capital Bc/bs
Other347952Highmark Bc/bs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID4789802158
PECOS Enrollment IDI20140826002454

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
326 services45 patients

Other Providers at the Same Location NPPES

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

Chiropractor
1526 N ATHERTON ST STE 200
STATE COLLEGE, PA 16803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699886390, enumerated as an "individual" on August 31, 2006.

The provider is located at 1526 N ATHERTON ST STE 200 STATE COLLEGE, PA 16803 and the phone number is (814) 237-5220.

Chiropractor with taxonomy code 111N00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.