Individual provider Active NPI

Charles Bradie Toner, M.D.

  • MOHS-Micrographic Surgery Physician
  • Springfield, VA
National Provider Identifier
1508846817
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
D67264 Issued in MD
Practice address
5501Backlick Road
Suite 110 & 120
Springfield, VA 22151-3960
Phone
(703) 705-7505
Fax
(866) 990-3880
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 057505 GA
General Practice Physician 208D00000X 057505 GA
Dermatopathology Physician 207ND0900X 057505 GA
MOHS-Micrographic Surgery Physician 207ND0101X D0067264 MD
MOHS-Micrographic Surgery Physician 207ND0101X D67264 MD Primary
Pediatric Dermatology Physician 207NP0225X 057505 GA
Specialist 174400000X 057505 GA
MOHS-Micrographic Surgery Physician 207ND0101X 0101054810 VA
MOHS-Micrographic Surgery Physician 207ND0101X 057505 GA
Dermatology Physician 207N00000X 057505 GA
Dermatopathology (Pathology) Physician 207ZD0900X 057505 GA

Addresses

Primary practice location

5501Backlick Road
Suite 110 & 120
Springfield, VA 22151-3960

Mailing address

6410 Rockledge Dr
Ste 300
Bethesda, MD 20817-7811
Phone (240) 515-6674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MD, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070307000557 GA Practitioner - Dermatology 3173517315 Reassigns benefits to 1 organization
I20080815000246 MD Practitioner - Dermatology 3173517315
I20090203000202 DC Practitioner - DermatologyPractitioner - Other (Physician) 3173517315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Mohs Surgery Center, LLCGroup PAC ID 2860720059, 5 clinicians

Practice addresses (Care Compare)

5501 Backlick Rd
Suite 120
Springfield, VA 22151-3940
Phone (703) 705-7505

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision116
Removal of tissue1-10
Removal of skin lesions74
Removal of skin cancer854
Removal of nail tissue1-10
Skin biopsy202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
057505GAMDMOHS-Micrographic Surgery Physician
D67264MDMDMOHS-Micrographic Surgery Physician
0101054810VAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Dermatology & Skin Cancer Center, LLC Dermatology CurrentSince Jan 1, 2007 Accepting new patients
DRS Poulton & Smith LLC Dermatology CurrentSince Jul 1, 2003 Accepting new patients
David a. Spott, M.D., P.a. Dermatology CurrentSince Feb 26, 2015 Accepting new patients
Pacific Med & Nephrology PastSince Apr 15, 1999 Accepting new patients

Locations

2400 Bellevue Rd
Ste 21A
Dublin, GA 31021
Phone (478) 275-7202

1157 Forsyth St
Macon, GA 31201
Phone (478) 745-8581

9131 Piscataway Rd
Ste 550
Clinton, MD 20735
Phone (301) 868-7077

5233 King Ave
Ste 204
Rosedale, MD 21237
Phone (410) 574-3100

9101 Franklin Square Dr
Ste 308
Rosedale, MD 21237
Phone (301) 572-3100

Interoperability endpoints

  • Direct secure messaging: ctoner@directaddress.net

Organizations & group practices 5

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1508846817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "STE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208177811",
            "telephone_number": "240-515-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501BACKLICK ROAD",
            "address_2": "SUITE 110 & 120",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513960",
            "telephone_number": "703-705-7505",
            "fax_number": "866-990-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONER",
        "first_name": "CHARLES",
        "middle_name": "BRADIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "GA",
            "license": "057505",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "057505",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "GA",
            "license": "057505",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MD",
            "license": "D0067264",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MD",
            "license": "D67264",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "GA",
            "license": "057505",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "057505",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101054810",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "057505",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "057505",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "GA",
            "license": "057505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.