Individual
BRAD RUSSELL TOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
(919) 232-5020
(919) 232-5021
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(919) 220-5255
(919) 763-1055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10595
NC
Other
Enumeration date
10/22/2020
Last updated
04/13/2026
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