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BRADLEY J. NELSON D.D.S. P.A.
NPI 1154542447
Dentist - General Practice in Bayport, MN

Active since May 02, 2007
363 5TH AVE N, BAYPORT, MN 55003(651) 439-4115 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley J. Nelson D.d.s. P.a. NPPES

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

BRADLEY J. NELSON D.D.S. P.A. (NPI 1154542447) is a healthcare organization registered as a general practice in Bayport, Minnesota and active in the NPI registry since May 2007. The organization lists Bradley J Nelson, Dentist, as its authorized official.

NPPES Registry Identity

NPI1154542447
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRADLEY J. NELSON D.D.S. P.A.
Location Address363 5TH AVE NBayport, MN 55003-1232
Mailing Address363 5th Ave NBayport, MN 55003-1232 · (651) 439-4115
Phone(651) 439-4115
Organization SubpartNo
Authorized OfficialBradley J NelsonDentist · (651) 439-4115
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154542447 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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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. BRADLEY J. NELSON DDS
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 J. Nelson D.D.S. P.A.'s NPI number?

The NPI number for Bradley J. Nelson D.D.S. P.A. is 1154542447. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Bradley J. Nelson D.D.S. P.A. located?

Bradley J. Nelson D.D.S. P.A. is located at 363 5th Ave N, Bayport, MN 55003. The listed phone number is (651) 439-4115.

What is Bradley J. Nelson D.D.S. P.A.'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 J. Nelson D.D.S. P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.