Individual provider Active NPI

Brad A Olson, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Toledo, OH
National Provider Identifier
1225032147
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
35074948 Issued in OH
Practice address
115 S Reynolds Rd
Toledo, OH 43615-6958
Phone
(419) 725-6631
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OH35074948O OH
Addiction Medicine (Internal Medicine) Physician 207RA0401X 35074948 OH Primary

Addresses

Primary practice location

115 S Reynolds Rd
Toledo, OH 43615-6958

Mailing address

708 Bridgeview Dr
Perrysburg, OH 43551-3900
Phone (567) 702-1090

Other identifiers 2

IdentifierTypeStateIssuer
000000141665OtherOHBLUE CROSS BLUE SHIELD PI
2078988MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200220001364 OH Practitioner - Addiction Medicine 6002243615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35074948OHMDAddiction Medicine (Internal Medicine) Physician
OH35074948OOHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor Health Professional Oh, LLC CurrentSince Mar 1, 2021 Accepting new patients
Pinnacle Treatment Centers Oh-IX, LLC CurrentSince Apr 2, 2025 Accepting new patients
Pinnacle Treatment Centers Oh-XII, LLC CurrentSince Nov 25, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

789 White Pond Dr
Ste C
Akron, OH 44320
Phone (330) 355-3153

115 S Reynolds Rd
Toledo, OH 43615
Phone (419) 725-6631

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1225032147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 BRIDGEVIEW DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513900",
            "telephone_number": "567-702-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156958",
            "telephone_number": "419-725-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "BRAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "OH35074948O",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35074948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PI",
            "identifier": "000000141665",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2078988",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.