Individual provider Active NPI

Janice Lynn Bremen, D.O.

  • Family Medicine Physician
  • Canton, OH
National Provider Identifier
1154316719
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34002633 Issued in OH
Practice address
4650 Hills and Dales Rd NW
Canton, OH 44708-6220
Phone
(330) 491-9675
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34002633 OH Primary

Addresses

Primary practice location

4650 Hills and Dales Rd NW
Canton, OH 44708-6220

Mailing address

3916 Arlington Rd Unit 1100
Uniontown, OH 44685-6951
Phone (330) 301-0081

Other practice location 1

295 E State St
Alliance, OH 44601-4935
Phone (330) 823-8864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031210000004 OH Practitioner - Family Practice 7214833391 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34002633OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Hospital CurrentSince Jul 8, 2019 Accepting new patients
Aultman Hospital CurrentSince Jul 8, 2019 Accepting new patients
Lake Hospital System Past Accepting new patients
State of Ohio Office of Budget and Management State Accounting Past Accepting new patients
Superior Med LLC Past Accepting new patients
Guernsey County General Health District Past Accepting new patients
Lake Hospital System Inc Past Accepting new patients
Lake Hospital System Inc. Past Accepting new patients
Guernsey County General Health District PastSince Apr 1, 2013 Accepting new patients

Locations

2461 W State St
Alliance, OH 44601
Phone (330) 821-8700

295 E State St
Alliance, OH 44601
Phone (330) 823-8864

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

4650 Hills and Dales Rd NW
Canton, OH 44708
Phone (330) 491-9675

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1154316719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 ARLINGTON RD UNIT 1100",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446856951",
            "telephone_number": "330-301-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 HILLS AND DALES RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447086220",
            "telephone_number": "330-491-9675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 E State St",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446014935",
            "country_code": "US",
            "telephone_number": "330-823-8864",
            "fax_number": "330-823-9322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREMEN",
        "first_name": "JANICE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34002633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.