Dr. Bradley D Ennis is a State College, Pennsylvania based male chiropractor with 25 years of experience in General Chiropractor. He completed his graduation from Sherman College Of Straight Chiropractic in 1999. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Bradley D Ennis as General Chiropractor is DC007593L in Pennsylvania. Dr. Bradley D Ennis is qualified as 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.
Complete Profile:
Dr. Bradley D Ennis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Experience:
25+ years
Medical School Attended:
Sherman College Of Straight Chiropractic
Graduation Year:
1999
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
1526 N Atherton St Ste 200, State College, Pennsylvania, 16803
Phone:
814-237-5220
Fax:
412-291-3381
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4789802158
Enrollment ID:
I20140826002454
NPI Number:
1699886390
NPI Enumeration Date:
31 Aug, 2006
NPI Last Update On:
25 Sep, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bradley D Ennis are as mentioned below.
License Number
Specialization
State
Status
DC007593L
Chiropractor
Pennsylvania
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Bradley D Ennis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
347952
Other
HIGHMARK BC/BS
03081900
Other
CAPITAL BC/BS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1526 N Atherton St Ste 200, State College, Pennsylvania
Zip:
16803-3041
Phone Number:
814-237-5220
Fax Number:
412-291-3381
Patients can reach Dr. Bradley D Ennis at 1526 N Atherton St Ste 200, State College, Pennsylvania or can call to book an appointment on 814-237-5220. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.