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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

COLLIN BRADLEY DMD
NPI 1790608842
Dentist - General Practice in Fort Gordon, GA

Active since August 04, 2026
25501 BRAINARD AVE, FORT GORDON, GA 30905(706) 787-7050 Get Directions Write a Review

NPPES record added: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Collin Bradley Dmd NPPES

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

COLLIN BRADLEY DMD (NPI 1790608842) is an individual general practice provider in Fort Gordon, Georgia, licensed in Florida (DN31695) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1790608842
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCOLLIN BRADLEYCredential: DMD
Location Address25501 BRAINARD AVEFort Gordon, GA 30905-5660
Mailing Address2034 Summerton CirEvans, GA 30809-6702 · (314) 482-5093
Phone(706) 787-7050
Sole ProprietorNo
Enumeration DateAugust 4, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1790608842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN31695
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.
25501 BRAINARD AVE, Fort Gordon, GA 30905
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Other Providers at the Same Location NPPES 9

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

MR. NOAH SOO PALENCIA DDS
Dentist
25501 BRAINARD AVE
APO, AA 30905
Richmond County (706) 787-7050
MARCOS ANTONIO ESQUIVEL CARDOSO DDS
Dentist
25501 BRAINARD AVE
FORT GORDON, GA 30905
Richmond County (706) 787-7050
DR. JUSTIN CHOW DMD
Dentist
25501 BRAINARD AVE
FORT GORDON, GA 30905
Richmond County (706) 787-7050
DR. BRIANA TAYLOR HILL
Dentist (General Practice)
25501 BRAINARD AVE
AUGUSTA, GA 30905
Richmond County (706) 787-7050
DANIELLE MCFADDEN
Dental Hygienist
25501 BRAINARD AVE, FORT GORDON
AUGUSTA, GA 30905
Richmond County (706) 787-7050
YOON NA CHOI DMD
Dentist
25501 BRAINARD AVE
AUGUSTA, GA 30905
Richmond County (706) 787-7050
CALVIN ARTHUR BROWN DDS
Dentist (General Practice)
25501 BRAINARD AVE
FORT GORDON, GA 30905
Richmond County (706) 787-7050
DR. SYDNIE TAYLOR DMD
Dentist (General Practice)
25501 BRAINARD AVE
APO, AA 30905
Richmond County (706) 787-7050

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 Collin Bradley's NPI number?

The NPI number for Collin Bradley is 1790608842. It was assigned to this individual provider in the NPPES registry on August 4, 2026.

Where is Collin Bradley located?

Collin Bradley practices at 25501 Brainard Ave, Fort Gordon, GA 30905. The listed phone number is (706) 787-7050.

What is Collin Bradley'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 Collin Bradley was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.