Dr Bradley Gordon Bork, DDS is a
Dentist - General Practice based in Mediapolis, Iowa. Dr Bradley Gordon Bork is licensed to practice in Iowa (license number 5675) and his current practice location is
511 Columbia Street, Mediapolis, Iowa. He can be reached at his office (for appointments etc.) via phone at
(319) 394-3255.
NPI number for Dr Bradley Gordon Bork is 1972534527 and his current mailing address is 511 Columbia Street, Mediapolis, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1972534527.
Healthcare Provider's Profile
Full Name | Dr Bradley Gordon Bork |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 511 Columbia Street, Mediapolis, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1972534527
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Bradley Gordon Bork such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972534527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 5675 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bradley Gordon Bork is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Bradley Gordon Bork, DDS 511 Columbia Street, Mediapolis, IA 52637 Ph: (319) 394-3255 | Dr Bradley Gordon Bork, DDS 511 Columbia Street, Mediapolis, IA 52637 Ph: (319) 394-3255 |
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