Crofton Podiatry

Primary specialty

PodiatristTaxonomy code 213E00000X

License

01010 Issued in MD

Legal business name

CROFTON PODIATRY

Practice address

2411 Crofton LN Ste 25
Crofton, MD 21114-1304

Phone

(410) 721-4505

NPI assigned

Jan 4, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Brad A Toll, DPM

Title

Owner

Phone

(410) 721-4505

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1700393311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 CROFTON LN STE 25",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141304",
            "telephone_number": "410-721-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 CROFTON LN STE 25",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141304",
            "telephone_number": "410-721-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROFTON PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "TOLL",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-721-4505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05872-8100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crofton Dental Center LLC
• Crofton Family Eye Care LLC
• Crofton Medical Group, LLC
• Crofton Opticians (EspEye)
• Crofton Physical Therapy & Sports Rehab, Inc.
• Stephanie Crowley, MA, CCC-SLP
• Mark Gillies Cu
• Linda M Dalder, LCPC
• Sarah Damiani, LAC
• Daniel I Park

• Podiatrist in Crofton, MD
• Providers in Crofton, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.