1. Home
  2. Directory
  3. Minnesota
  4. Mahtomedi
  5. Dentist
  6. NPI Profile

BRADLEY JOHN HAGEN
NPI 1316426752
Dentist - General Practice in Mahtomedi, MN

Active since August 07, 2018
814 MAHTOMEDI AVE, MAHTOMEDI, MN 55115(651) 426-0011 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 1, 2025, Aug 7, 2018 (2 updates tracked since 2018).

About Bradley John Hagen NPPES

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

BRADLEY JOHN HAGEN (NPI 1316426752) is an individual general practice provider in Mahtomedi, Minnesota, licensed in Minnesota (D15217) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1316426752
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBRADLEY JOHN HAGEN
Location Address814 MAHTOMEDI AVEMahtomedi, MN 55115-1730
Mailing Address814 Mahtomedi AveMahtomedi, MN 55115-1730 · (651) 426-0011
Phone(651) 426-0011
Sole ProprietorNo
Enumeration DateAugust 7, 2018
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1316426752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in MN · D15217✔ Licensed in VA · 0401417733✔ Licensed in CO · DEN.00203682
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.

814 MAHTOMEDI AVE, Mahtomedi, MN 55115
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

MAHTOMEDI DENTAL CLINIC
Dentist (General Practice)
814 MAHTOMEDI AVE, MAHTOMEDI DENTAL
MAHTOMEDI, MN 55115
Washington County (651) 426-0011
MAHTOMEDI DENTAL CLINIC
Dentist (General Practice)
814 MAHTOMEDI AVE
MAHTOMEDI, MN 55115
Washington County (651) 426-0011
STEVEN HAGSTROM D.C.
Chiropractor
814 MAHTOMEDI AVE
MAHTOMEDI, MN 55115
Washington County (651) 426-2210
MAHTOMEDI FAMILY DENTAL
Dentist (General Practice)
814 MAHTOMEDI AVE
MAHTOMEDI, MN 55115
Washington County (651) 426-0011

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 Hagen's NPI number?

The NPI number for Bradley Hagen is 1316426752. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Where is Bradley Hagen located?

Bradley Hagen practices at 814 Mahtomedi Ave, Mahtomedi, MN 55115. The listed phone number is (651) 426-0011.

What is Bradley Hagen's specialty?

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

What insurance does Bradley Hagen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Bradley Hagen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradley Hagen was last updated on July 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.