Individual provider Active NPI

Brad N Tofias, CASE MANAGER

  • Addiction (Substance Use Disorder) Counselor
  • Canton, MA
National Provider Identifier
1003113812
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
S12078301 Issued in MA
Practice address
3 Meyer Ter
Canton, MA 02021-3401
Phone
(781) 828-1797
NPI assigned
Feb 15, 2011
Last updated
Feb 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X S12078301 MA Primary

Addresses

Primary practice location

3 Meyer Ter
Canton, MA 02021-3401

Mailing address

3 Meyer Ter
Canton, MA 02021-3401
Phone (781) 828-1797

Other identifiers 1

IdentifierTypeStateIssuer
XXH960503036OtherMABLUE CROSS BLUE SHIELD HMO BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S12078301MAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1003113812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEYER TER",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213401",
            "telephone_number": "781-828-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEYER TER",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213401",
            "telephone_number": "781-828-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOFIAS",
        "first_name": "BRAD",
        "middle_name": "N",
        "credential": "CASE MANAGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "S12078301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD HMO BLUE",
            "identifier": "XXH960503036",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.