DR. BLAKE BORDELOVE DDS
NPI 1023952942
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since April 20, 2026
1 BROOKDALE PLZ, BROOKLYN, NY 11212(718) 240-5000 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Blake Bordelove Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BLAKE BORDELOVE DDS (NPI 1023952942) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1023952942
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. BLAKE BORDELOVECredential: DDS
Location Address1 BROOKDALE PLZBrooklyn, NY 11212-3139
Mailing Address1 Brookdale PlzBrooklyn, NY 11212-3139
Sole ProprietorYes
Enumeration DateApril 20, 2026
NPPES CertifiedApril 20, 2026
NPI 1023952942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 BROOKDALE PLZ, Brooklyn, NY 11212

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Radiology (Diagnostic Radiology)
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Emergency Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Internal Medicine
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Student in an Organized Health Care Education/Training Program
1 BROOKDALE PLZ
BROOKLYN, NY 11212
Physician Assistant
1 BROOKDALE PLZ, BROOKDALE UNIVERSITY HOSPITAL & MEDICAL CENTER
BROOKLYN, NY 11212

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 Blake Bordelove's NPI number?

The NPI number for Blake Bordelove is 1023952942. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Where is Blake Bordelove located?

Blake Bordelove practices at 1 Brookdale Plz, Brooklyn, NY 11212. The listed phone number is (718) 240-5000.

What is Blake Bordelove's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Blake Bordelove was last updated on April 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.