DR. BRADLEY J. NELSON DDS
NPI 1154330918
Dentist - General Practice in Bayport, MN

Q: What is Bradley Nelson's NPI number?

The NPI number for Bradley Nelson is 1154330918. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Q: What is Bradley Nelson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Nelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 07, 2006

363 5TH AVE N, BAYPORT, MN 55003(651) 439-4115(651) 439-4093 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Bradley J. Nelson Dds NPPES

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

DR. BRADLEY J. NELSON DDS (NPI 1154330918) is an individual general practice provider in Bayport, Minnesota, licensed in Minnesota (9832) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1154330918

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRADLEY J. NELSONCredential: DDS

Location Address363 5TH AVE NBayport, MN 55003-1232

Mailing Address363 5th Ave NBayport, MN 55003-1232 · (651) 439-4115 · Fax (651) 439-4093

Phone(651) 439-4115

Fax(651) 439-4093

Sole ProprietorYes

Enumeration DateAugust 7, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1154330918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · 9832

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

363 5TH AVE N, Bayport, MN 55003

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Other Providers at the Same Location NPPES

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

BRADLEY J. NELSON D.D.S. P.A.

Dentist (General Practice)

363 5TH AVE N
BAYPORT, MN 55003

Washington County (651) 439-4115

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 Bradley Nelson's NPI number?

The NPI number for Bradley Nelson is 1154330918. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Bradley Nelson located?

Bradley Nelson practices at 363 5th Ave N, Bayport, MN 55003. The listed phone number is (651) 439-4115.

What is Bradley Nelson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bradley Nelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.