Bloom Sanctuary PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BLOOM SANCTUARY PLLC

Practice address

136 W Lancaster Ave Ste 2
Paoli, PA 19301-1786

Phone

(610) 822-0044

NPI assigned

Dec 13, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brandie Elizabeth Keates, DCNPI 1033188362

Title

Ceo

Phone

(610) 822-0044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandie Elizabeth Keates, DC

  • Chiropractor
  • Wayne, PA
  • NPI 1033188362
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1508720517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W LANCASTER AVE STE 2",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011786",
            "telephone_number": "610-822-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W LANCASTER AVE STE 2",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011786",
            "telephone_number": "610-822-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM SANCTUARY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-13",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "KEATES",
        "authorized_official_first_name": "BRANDIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-822-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Lyons Biles, P.T.
• Elizabeth Birmingham, LSW
• Lauren Bixler, DO
• Peter E Blackstone, D.O.
• A. Linda Blair, MSW, LCSW, BCD, QCSW
• Keirsten L Blumenstein Haring
• James Richard Bollinger, M.D.
• Dawn M. Bonella, CRNP
• Joseph Bonn, MD
• Samuel Borofsky

• Chiropractor in Paoli, PA
• Providers in Paoli, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.