Bradley Allen Gardner, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

8900 Issued in MN

Practice address

2009 Old County Road 34 PL
Burnsville, MN 55337-6608

Phone

(952) 890-0453

Fax

(952) 736-2978

NPI assigned

Oct 12, 2005

Last updated

Jul 13, 2026By the provider in NPPES

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609864610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 OLD COUNTY ROAD 34 PL",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376608",
            "telephone_number": "952-890-0453",
            "fax_number": "952-736-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 OLD COUNTY ROAD 34 PL",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376608",
            "telephone_number": "952-890-0453",
            "fax_number": "952-736-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "BRADLEY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chitra Ganesan, MD
• Anne Marie Gant, OTR
• Peter J Ganzer Jr., MD
• Ana Garcia Ponce
• Evelyn Garcia-Trejo
• Lyndzeahia Amari Gardner
• Brenda Garrett-Johnson, PT
• Karen Lynn Garrison, COTA
• Michael James Gates, MD
• Gateway Health Services Inc (Gateway Health Services)

• Dentist in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Dentist 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.