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DR. BRADLEY GORDON BORK DDS
NPI 1972534527
Dentist - General Practice in Mediapolis, IA

Active since July 05, 2006
511 COLUMBIA STREET, MEDIAPOLIS, IA 52637(319) 394-3255(319) 394-3133 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bradley Gordon Bork Dds NPPES

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

DR. BRADLEY GORDON BORK DDS (NPI 1972534527) is an individual general practice provider in Mediapolis, Iowa, licensed in Iowa (5675) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1972534527
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRADLEY GORDON BORKCredential: DDS
Location Address511 COLUMBIA STREETMediapolis, IA 52637
Mailing Address511 Columbia StreetMediapolis, IA 52637 · (319) 394-3255 · Fax (319) 394-3133
Phone(319) 394-3255
Fax(319) 394-3133
Sole ProprietorYes
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972534527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IA · 5675
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.
511 COLUMBIA STREET, Mediapolis, IA 52637
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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 Bork's NPI number?

The NPI number for Bradley Bork is 1972534527. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Bradley Bork located?

Bradley Bork practices at 511 Columbia Street, Mediapolis, IA 52637. The listed phone number is (319) 394-3255.

What is Bradley Bork'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 Bork was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.