Active NPI
Brad S Tolin, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- J2820
- Practice address
- 150 E Sonterra Blvd
300
San Antonio, TX 78258 - Phone
- (210) 489-7240
- Fax
- (210) 545-1284
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | J2820 | TX | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | J2820 | TX | Primary |
Addresses
Primary practice location
150 E Sonterra Blvd
300
San Antonio, TX 78258
Mailing address
400 Concord Plaza Dr
Suite 300
San Antonio, TX 78216-6905
Phone (210) 489-7240
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117102704 | Medicaid | TX | |
| 4269459 | Other | TX | AETNA |
| 8B8404 | Other | TX | BCBS |
| 1895194 | Other | TX | CIGNA |
| 200042342 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.86 of 100
- Quality
- 65.93
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 71.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J2820 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The San Antonio Orthopaedic Group, LLP | Orthopaedic Surgery | Current | Accepting new patients |
| The San Antonio Orthopaedic Group, LLP | Orthopaedic Surgery | Current | Accepting new patients |
Locations
400 Concord Plaza Dr
Ste 300
San Antonio, TX 78216
Phone (210) 804-5416
1200 Brooklyn Ave
Ste 320
San Antonio, TX 78212
Phone (210) 225-5741
150 E Sonterra Blvd
Ste 300
San Antonio, TX 78258
Phone (210) 489-7220
19138 US Highway 281 N
Ste 100
San Antonio, TX 78258
Phone (210) 593-1435
Interoperability endpoints
- brad.s.tolin.1@94.direct.athenahealth.com
- brad.tolin.1@3199.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- San Antonio, TX
- NPI 1720022494
-
- Orthopedic Physical Therapist
- San Antonio, TX
- NPI 1770042152
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499904000000",
"number": "1124062385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CONCORD PLAZA DR",
"address_2": "SUITE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782166905",
"telephone_number": "210-489-7240",
"fax_number": "210-545-1284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 E SONTERRA BLVD",
"address_2": "300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78258",
"telephone_number": "210-489-7240",
"fax_number": "210-545-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLIN",
"first_name": "BRAD",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2017-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "J2820",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "TX",
"license": "J2820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117102704",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4269459",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8B8404",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1895194",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200042342",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.