Mackenzi Bacorn

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

1114976701 Issued in OH

Practice address

37 N Broadway St
Akron, OH 44308-1910

Phone

(330) 535-8181

NPI assigned

May 28, 2025

Last updated

May 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mackenzi Brozovich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1164215406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 BEAVER TRL",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 N BROADWAY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081910",
            "telephone_number": "330-535-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACORN",
        "first_name": "MACKENZI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "1114976701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZI",
            "last_name": "BROZOVICH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Agard Bachtel, MD
• Theresa M Bachtel, CRNA
• Graham Baciak, CRNA
• Christian Daniel Backer
• Donna J Backus, MD
• Beverly Baddley, LPC
• Sharnisha Baddley
• Sarah Bader
• Baridor Dan Badom
• Leesi Badom

• Student in an Organized Health Care Education/Training Program in Akron, OH
• Providers in Akron, OH by specialty
• Student in an Organized Health Care Education/Training Program in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.