BRADLY DONABAUER DDS
NPI 1720179302
Dentist - General Practice in Crookston, MN

Q: What is Bradly Donabauer's NPI number?

The NPI number for Bradly Donabauer is 1720179302. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Bradly Donabauer'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 Bradly Donabauer 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 September 27, 2006

310 S BROADWAY, CROOKSTON, MN 56716(218) 281-1301 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bradly Donabauer Dds NPPES

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

BRADLY DONABAUER DDS (NPI 1720179302) is an individual general practice provider in Crookston, Minnesota, licensed in Minnesota (11563) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1720179302

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameBRADLY DONABAUERCredential: DDS

Location Address310 S BROADWAYCrookston, MN 56716-1913

Mailing Address310 S BroadwayCrookston, MN 56716-1913 · (218) 281-1301

Phone(218) 281-1301

Sole ProprietorYes

Enumeration DateSeptember 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1720179302 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 · 11563

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.

310 S BROADWAY, Crookston, MN 56716

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Florida Combined Life.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. JACLYN M. JENSEN DDS, PC

Dentist (General Practice)

310 S BROADWAY
CROOKSTON, MN 56716

Polk County (218) 281-1301

SERENE SUNRISE MENTAL HEALTH CLINIC

Nurse Practitioner (Psychiatric/Mental Health)

310 S BROADWAY
CROOKSTON, MN 56716

Polk County (218) 289-2787

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 Bradly Donabauer's NPI number?

The NPI number for Bradly Donabauer is 1720179302. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Bradly Donabauer located?

Bradly Donabauer practices at 310 S Broadway, Crookston, MN 56716. The listed phone number is (218) 281-1301.

What is Bradly Donabauer's specialty?

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

What insurance does Bradly Donabauer accept?

Health plans from Blue Cross Blue Shield of North Dakota and Florida Combined Life list Bradly Donabauer 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 Bradly Donabauer 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.