DR. BRADLEY EDHOLM KING (NPI# 1174633036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174633036 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY EDHOLM KING |
| Credential | DDS |
| Practice Address |
121 E Front Ave Bismarck ND 58504-5589 |
| Mailing Address |
737 Munich Dr Bismarck ND 58504-7042 |
| Practice Telephone | 7012231194 |
| Mailing Telephone | 7012587579 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1663 | ND | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 41242 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881150035 | Bradley King | Student in an Organized Health Care Education/Training Program | 10600 Steamboat Lndg, Columbia, MD 21044-4149 | 2019-02-13 |
| 1285960955 | Bradley King | Registered Nurse | 203 Peebles Ave, Franklin, KY 42134-1637 | 2009-10-30 |
| 1205464732 | Bradley King | Student in an Organized Health Care Education/Training Program | 201 State St, Erie, PA 16550-0002 | 2020-03-30 |
| 1790298289 | Bradley Stephen King | Counselor | 221 E Washington Ave, Dayton, WA 99328-1317 | 2017-11-07 |
| 1215357033 | Bradley Anthony King | Orthopaedic Surgery | 3301 Mercy Health Blvd Ste 450, Cincinnati, OH 45211-1106 | 2014-04-19 |
| 1689014904 | Bradley King | Case Manager/Care Coordinator | 204 Frankie Ln, White Hall, AR 71602-2699 | 2013-07-01 |
| 1043504152 | Bradley Mark King | Ophthalmology | 1016 Kirkpatrick Rd, Burlington, NC 27215-9714 | 2011-06-06 |
| 1336453240 | Bradley Stephen King | Pharmacist | 220 S Main St, Stanley, NC 28164-2011 | 2010-08-03 |
| 1295948206 | Bradley King | Radiology | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 | 2007-05-07 |
| 1639118367 | Bradley Owen King | Emergency Medicine | 1000 S Beckham Ave, Tyler, TX 75701-1908 | 2006-06-06 |
| Street Address |
121 E FRONT AVE |
| City | BISMARCK |
| State | ND |
| Zip Code | 58504-5589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053806836 | Breanna M Ohlhauser | Dentist | 121 E Front Ave, Bismarck, ND 58504-5589 | 2018-06-25 |
| 1316398316 | John Persson | Dentist | 121 E Front Ave, Bismarck, ND 58504-5589 | 2016-06-30 |
| 1982042362 | Jade A Desmidt | Dentist | 121 E Front Ave, Bismarck, ND 58504 | 2013-06-07 |
| 1770756272 | Casey Bryant Carlson | Dentist | 121 E Front Ave, Bismarck, ND 58504-5589 | 2008-04-07 |
| 1144391632 | Prairie Rose Family Dentists | Dentist | 121 E Front Ave, Bismarck, ND 58504-5589 | 2006-11-13 |
| 1912091026 | Sidney James Schmidt | Dentist | 121 E Front Ave, Bismarck, ND 58504-5589 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578077 | Hit Inc. | Community/Behavioral Health | 1517/1519 S Washington St, Bismarck, ND 58504 | 2020-11-03 |
| 1518568963 | Hit Inc. | Community/Behavioral Health | 1509/1511 S Washington St., Bismarck, ND 58504 | 2020-11-03 |
| 1366926594 | Lisa Elizabeth Morgan | Counselor | 2600 Manchester St, Bismarck, ND 58504 | 2018-09-24 |
| 1528557006 | Mees Physical Therapy LLC | Physical Therapist | 109 Mcdougall Dr., Suite 4, Lincoln, ND 58504 | 2018-05-09 |
| 1437666856 | Katy Thomas | Social Worker | 3315 University Drive, Bismasrck, ND 58504 | 2018-01-08 |
| 1407396864 | Allison Bitz | Social Worker | 600 S. Second St., Suite 220, Bismarck, ND 58504 | 2017-03-06 |
| 1306397831 | Evan Morehead | Specialist/Technologist | 5160 Lincoln Road, Lincoln, ND 58504 | 2016-10-19 |
| 1902262520 | Stacey S Haugen, Pllc | Counselor | 6221 University Drive, Bismarck, ND 58504 | 2016-01-12 |
| 1881060630 | Brittany N Kudrna | Nurse Practitioner | 914 S 12th St Ste 101, Bismarck, ND 58504 | 2015-08-17 |
| 1154727873 | William J Kucera | Physical Therapist | 324 Marietta Dr, Bismarck, ND 58504 | 2014-11-06 |
| Find all providers in zip 58504 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700267440 | Jordan D. York | Dentist | 1929 N Washington St Ste Oo, Bismarck, ND 58501-1695 | 2015-06-17 |
| 1992117501 | Missouri River Dental, PC | Dentist | 1401 Skyline Blvd, Suite 210, Bismarck, ND 58503-1299 | 2014-05-30 |
| 1902245996 | Sarah Mertz | Dentist | 3001 Yorktown Drive Suite 4, Bismarck, ND 58503 | 2013-06-23 |
| 1881824449 | Michael Henry | Dentist | 27 Woodland Hills Dr, Bismarck, IL 61814-5055 | 2009-07-16 |
| 1912152190 | Riley D Parker | Dentist | 4501 Coleman St, Ste 107, Bismarck, ND 58503 | 2008-12-01 |
| 1174788269 | Maria Lynn Dwyer | Dentist | 301 E Front Ave, Bismarck, ND 58504-5600 | 2008-07-28 |
| 1639333701 | Ralph Gordon Honkola | Dentist | 1004 S 7th St, Bismarck, ND 58504-6531 | 2008-07-17 |
| 1669674362 | Brock Allen Oukrop | Dentist | 4204 Boulder Ridge Rd Suite 140, Bismarck, ND 58503 | 2007-06-04 |
| 1003027517 | Steven J Midstokke | Dentist | 1223 S 12th St Ste 1, Bismarck, ND 58504-6626 | 2007-05-25 |
| 1063628592 | Daniel Dean Axvig | Dentist | 301 E Front Ave Ste 105, Bismarck, ND 58504-5601 | 2007-05-14 |
| Find all providers in BISMARCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.