| Bradley D. Ennis,dc | |
|
1526 N Atherton St Ste 200, State College, PA 16803-3041 | |
| (814) 237-5220 | |
| (412) 291-3381 |
| Full Name | Bradley D. Ennis,dc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1526 N Atherton St Ste 200, State College, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235780909 | NPI | - | NPPES |
| 347952 | Other | PA | BCBS |
| 03081900 | Other | PA | CAPITAL BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Bradley D Ennis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1699886390 PECOS PAC ID: 4789802158 Enrollment ID: I20140826002454 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley D. Ennis,dc 1526 N Atherton St Ste 200, State College, PA 16803-3041 Ph: (814) 353-1217 | Bradley D. Ennis,dc 1526 N Atherton St Ste 200, State College, PA 16803-3041 Ph: (814) 237-5220 |
Dr. Joel M Casteel, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1411 N Atherton St, State College, PA 16803 Phone: 814-235-9400 Fax: 814-235-9444 | |
Dr. Roy Michael Love, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 611 University Drive, State College, PA 16801 Phone: 814-234-5271 Fax: 814-234-9730 | |
Dr. Paul D. Lamb, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 476 Rolling Ridge Drive Suite 200, State College, PA 16801 Phone: 814-231-2101 Fax: 814-231-8569 | |
Rothrock Chiropractic And Rehabilitation Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1402 S Atherton St Ste 204, State College, PA 16801 Phone: 814-441-5532 Fax: 814-556-2110 | |
Dr. Bradley Scott Kulig, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 611 University Dr, State College, PA 16801 Phone: 814-234-5271 | |
Phoenix Rehabilitation And Health Services, Inc. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1700 Old Gatesburg Rd, Suite 210, State College, PA 16803 Phone: 814-278-1912 Fax: 814-278-1921 | |
Dr. Tyler Robert Phillips, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1315 W College Ave Ste 200, State College, PA 16801 Phone: 814-237-5559 |