Active NPI
Christian Brode Tams, MS RD LDN
- Athletic Trainer
- Newton, MA
National Provider Identifier
1437959004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 86077692
- Practice address
- 74 Longfellow Rd
Newton, MA 02462-1508 - Phone
- (413) 313-8766
- NPI assigned
- Mar 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 86077692 | MA | Primary |
Addresses
Primary practice location
74 Longfellow Rd
Newton, MA 02462-1508
Mailing address
74 Longfellow Rd
Newton, MA 02462-1508
Phone (413) 313-8766
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86077692 | MA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group of New Jersey, P.C. | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
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.
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- Internal Medicine Physician
- Union City, NJ
- NPI 1043995467
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1437959004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 LONGFELLOW RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621508",
"telephone_number": "413-313-8766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 LONGFELLOW RD",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621508",
"telephone_number": "413-313-8766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAMS",
"first_name": "CHRISTIAN",
"middle_name": "BRODE",
"credential": "MS RD LDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-13",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MA",
"license": "86077692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.