Individual
BRAD S TOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 E SONTERRA BLVD, 300, SAN ANTONIO, TX 78258
(210) 489-7240
(210) 545-1284
Mailing address
400 CONCORD PLAZA DR, SUITE 300, SAN ANTONIO, TX 78216-6905
(210) 489-7240
(210) 545-1284
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
J2820
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
J2820
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117102704
—
TX
01
—
1895194
CIGNA
TX
01
—
200042342
RAILROAD MEDICARE
TX
01
—
4269459
AETNA
TX
01
—
8B8404
BCBS
TX
Enumeration date
06/16/2006
Last updated
07/13/2017
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