Bradley E Ellisor (NPI# 1538333182, PAC ID# 8628104445) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1538333182 |
| PAC ID by PECOS | 8628104445 |
| Professional Enrollment ID | I20100331000992 |
| Full Name | Bradley E Ellisor |
| Address |
448 Sussex E Ave Suite 3 Tenino WA 98589-8703 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE - WEST |
| Graduation Year | 2004 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 448 Sussex E Ave, Suite 3, Tenino, WA 98589-8703 |
| Street Address |
448 SUSSEX E AVE SUITE 3 |
| City | TENINO |
| State | WA |
| Zip | 98589-8703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leyton E Jump | General Practice | Lewis County Community Health Services | 273 Sussex Ave E, Tenino, WA 98589-9359 |
| City | TENINO |
| Zip Code | 98589 |
| Specialty | CHIROPRACTIC |
| City + Specialty | TENINO + CHIROPRACTIC |
Please comment or provide details below to improve the information on Bradley E Ellisor.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.