Active NPI
Brad A Olson, M.D.
- Addiction Medicine (Internal Medicine) Physician
- Toledo, OH
National Provider Identifier
1225032147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 35074948
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000141665 | Other | OH | BLUE CROSS BLUE SHIELD PI |
| 2078988 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35074948 | OH | MD | Addiction Medicine (Internal Medicine) Physician |
| OH35074948O | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eleanor Health Professional Oh, LLC | Current | Accepting new patients | |
| Pinnacle Treatment Centers Oh-IX, LLC | Current | Accepting new patients | |
| Pinnacle Treatment Centers Oh-XII, LLC | Current | 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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Akron, OH
- NPI 1730782475
-
dba Toledo Treatment Services
- Methadone Clinic
- Toledo, OH
- NPI 1275096083
-
dba Sandusky Treatment Services
- Methadone Clinic
- Sandusky, OH
- NPI 1790301869
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.