Bernard Borkon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7402 Issued in MN

Practice address

5407 Excelsior Blvd
Suite C
St Louis Park, MN 55416-2929

Phone

(952) 922-2002

Fax

(952) 922-2002

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225086465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 EXCELSIOR BLVD",
            "address_2": "SUITE C",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162929",
            "telephone_number": "952-922-2002",
            "fax_number": "952-922-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 EXCELSIOR BLVD",
            "address_2": "SUITE C",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162929",
            "telephone_number": "952-922-2002",
            "fax_number": "952-922-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORKON",
        "first_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D7402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Bonahoom, LMFT
• Jenna Bonde, RD, LD
• Daniela Alejandra Bonilla Bermudez, LADC
• Karen Boortz, PSY.D. L.P.
• Kayla Kimberly Borchert, MA, CCC-SLP
• Patrick Eugene Borowicz, RN
• Steven J Borowsky, M.D.
• Kristine Borys, RD
• Noor Abdirahim Bosir
• Robert Stephen Boswell, LICSW

• General Practice Dentistry in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.