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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: October 18, 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
Phone(814) 237-5220
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
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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, billing reassignment, and ordering and referring status from CMS.

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 IDI20140904000775

Medicare Billing Reassignment

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

Ennis Straight Chiropractic Center
Same address
Chiropractor
1526 N ATHERTON ST STE 200
State College, PA 16803
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1235780909 (814) 237-5220

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

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.
362 services44 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.

ENNIS STRAIGHT CHIROPRACTIC CENTER
Chiropractor
1526 N ATHERTON ST STE 200
STATE COLLEGE, PA 16803
Centre County (814) 237-5220

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 Ennis's NPI number?

The NPI number for Bradley Ennis is 1699886390. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Bradley Ennis located?

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

What is Bradley Ennis's specialty?

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

Is Bradley Ennis enrolled in Medicare?

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

Which organization bills Medicare for Bradley Ennis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Ennis reassigns Medicare benefits to Ennis Straight Chiropractic Center (State College, PA). 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 Ennis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bradley Ennis was last updated on September 25, 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.