Heather Brodzenski
Individual provider Active NPI General Practice Physician · Barberton, OH
NPI 1073488656 · NPPES record last updated Jul 6, 2026
Key facts
- NPI
- 1073488656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- APRN.CNP.0040302 (OH)
- Practice address
- 290 9TH St NE
Barberton, OH 44203-3419 - Phone
- (330) 877-3621
- NPI assigned
- Oct 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Care Inc.
Practice addresses (Care Compare)
290 9TH St NE
Barberton, OH 44203-3419
Phone (330) 745-3514
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260224003991 | OH | Practitioner - Nurse Practitioner | 6103307541 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0040302 | OH | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care Inc. | Single Specialty | Current |
Accepting new patients |
| Radiology Associates of Canton, Inc. | Single Specialty | Past | Accepting new patients |
Locations
290 9th St NE
Barberton, OH 44203
Phone (330) 388-5921
944 Cherry St E
Canal Fulton, OH 44614
Phone (330) 854-4281
1700 Boettler Rd
Ste 100
Green, OH 44685
Phone (330) 896-0009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0040302 | OH | |
| General Practice Physician |
208D00000X | APRN.CNP.0040302 | OH | Yes |
Addresses
Primary practice location
290 9TH St NE
Barberton, OH 44203-3419
Mailing address
290 9TH St NE
Barberton, OH 44203-3419
Phone (330) 745-3514
Other providers in Barberton, OH
- Joseph V Booth
- Clara Rae Borsilli
- Courtni Boswell
- Charniece Branch
- Bridge Recovery & Treatment
- Brookdale Senior Living Communities, Inc.
- Terri Lynn Brooks
- Morley Nicole Brown
- Marian Lea Buck
- An Robert Buiho
All providers in Barberton, OH · General Practice Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.