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Deactivated NPI 1053414466 Deactivated / Inactive NPI Male Practitioner

Dr. Steven Mark Bardolph , MD

Orthopaedic Surgery • Brainerd, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Steven Bardolph has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 07, 2006
NPI Deactivation Date October 30, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Steven Bardolph, MD was a registered Orthopaedic Surgery practicing in Brainerd, MN. Throughout an active medical career spanning 19 years, Dr. Bardolph provided care at the practice location at 2014 SO 6TH ST until profile deactivation on 2025-10-30.

Practice Location & Contact Primary Location

Practice Address

2014 So 6th St

Brainerd, MN 56401

Telephone 2188297812
Fax 2188299751
Associated Practice Facility / Clinic
🏢 Northern Orthopedics Ltd Facility NPI 1538206982

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Brainerd, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.6 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
9 Specialists

Practicing in Brainerd, MN (674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MN 23861

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Ian Shields , PA-C

Physician Assistant

NPI 1063913853

Physician Assistant (Certified)

Dr. Nicholas Lesmeister , MD

Orthopaedic Surgery

NPI 1073933719

Doctor of Medicine (M.D.)

Megan Kempf , PA

Physician Assistant

NPI 1154971828

Physician Assistant

Dr. Amy Lelwica , MD

Orthopaedic Surgery

NPI 1225164346

Doctor of Medicine (M.D.)

Katierae Herron , APRN, CNP

Nurse Practitioner - Family

NPI 1235809070

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Benjamin Robertson , MD

Orthopaedic Surgery

NPI 1316011729

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 30, 2025

Record deactivated on October 30, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2014 SO 6TH ST, BRAINERD, MN 56401 (Tel: 2188297812)

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Updated Business Mailing Address July 08, 2007

Registered at 11077 LEISURE LANE, BRAINERD, MN 56401 (Tel: 2187642777)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STEVEN BARDOLPH, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #23861 in MN)

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Initial NPI Registration & Enumeration September 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053414466
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2006
Last Update: July 08, 2007
Deactivation Date: October 30, 2025

Mailing Address

11077 Leisure Lane

Brainerd, MN 56401

Phone: 2187642777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.