CROFTON PODIATRY NPI 1700393311

NPI Information

  • NPI: 1700393311
  • Provider Name: CROFTON PODIATRY
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 2411 CROFTON LN STE 25
    CROFTON, MD
    ZIP 21114
  • Phone: (410) 721-4505

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NPI Details

CROFTON PODIATRY is a podiatrist in Crofton, MD. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. CROFTON PODIATRY NPI is 1700393311. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2411 CROFTON LN STE 25
CROFTON, MD
ZIP 21114-304
Phone: (410) 721-4505

The provider's authorized official is Brad A Toll .
The authorized official title is Owner and has the following contact phone number (410) 721-4505.

The enumeration date for this NPI number is 1/4/2018 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist01010MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
105872-8100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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