Individual provider Active NPI

Benjamin Robert Brocker

  • Family Medicine Physician
  • Boardman, OH
National Provider Identifier
1164927307
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.015108 Issued in OH
Practice address
7341 Eisenhower Dr
Boardman, OH 44512-5900
Phone
(330) 726-1138
Fax
(330) 726-6128
NPI assigned
Mar 29, 2018
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 34.015108 OH Primary

Addresses

Primary practice location

7341 Eisenhower Dr
Boardman, OH 44512-5900

Mailing address

8423 Market St Ste 101
Boardman, OH 44512-6778
Phone (330) 729-8700

Other practice location 1

107 Royal Birkdale Dr Ste A
Columbiana, OH 44408-8493
Phone (877) 469-7476

Other practice location 2

8423 Market St Ste 101
Boardman, OH 44512-6778
Phone (330) 729-8700

Other practice location 3

330 Wick Ave
Youngstown, OH 44503-1002
Phone (877) 469-7476

Other practice location 4

1932 Niles Cortland Rd NE
Warren, OH 44484-1055
Phone (877) 469-7476

Other practice location 5

9471 Market St Ste A
North Lima, OH 44452-8702
Phone (877) 469-7476

Other practice location 6

564 E 2nd St
Salem, OH 44460-2914
Phone (877) 469-7476

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
I20210726002161 OH Practitioner - Family Practice 6406104090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians

Practice addresses (Care Compare)

4694 Belmont Ave
Youngstown, OH 44505-1012
Phone (330) 480-2371

7341 Eisenhower Dr
Boardman, OH 44512-5900
Phone (330) 726-1138

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Jan 1, 2022 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Aug 1, 2021 Accepting new patients
Hampton Woods Nursing Center, Inc. Past Accepting new patients
Lisbon Skilled Nursing and Residential Care, LLC Past Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

9471 Market St
Ste A
North Lima, OH 44452
Phone (330) 726-7100

564 E 2nd St
Salem, OH 44460
Phone (234) 567-8150

1932 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 306-5300

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

330 Wick Ave
Youngstown, OH 44503
Phone (330) 747-4660

4694 Belmont Ave
Youngstown, OH 44505
Phone (330) 480-7655

7341 Eisenhower Dr
Youngstown, OH 44512
Phone (330) 726-1138

8423 Market St
Ste 101
Youngstown, OH 44512
Phone (330) 729-8700

Interoperability endpoints

  • Direct secure messaging: bbrocker214453@direct.bsmhealth.org

Organizations & group practices 7

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

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1164927307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8423 MARKET ST STE 101",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126778",
            "telephone_number": "330-729-8700",
            "fax_number": "330-729-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7341 EISENHOWER DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125900",
            "telephone_number": "330-726-1138",
            "fax_number": "330-726-6128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Royal Birkdale Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Columbiana",
            "state": "OH",
            "postal_code": "444088493",
            "country_code": "US",
            "telephone_number": "877-469-7476",
            "fax_number": "330-482-2336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8423 Market St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445126778",
            "country_code": "US",
            "telephone_number": "330-729-8700",
            "fax_number": "330-729-8701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Wick Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445031002",
            "country_code": "US",
            "telephone_number": "877-469-7476",
            "fax_number": "330-747-4661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1932 Niles Cortland Rd NE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444841055",
            "country_code": "US",
            "telephone_number": "877-469-7476",
            "fax_number": "330-856-7704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9471 Market St Ste A",
            "address_purpose": "LOCATION",
            "city": "North Lima",
            "state": "OH",
            "postal_code": "444528702",
            "country_code": "US",
            "telephone_number": "877-469-7476",
            "fax_number": "330-758-0347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "564 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OH",
            "postal_code": "444602914",
            "country_code": "US",
            "telephone_number": "877-469-7476",
            "fax_number": "234-567-8189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKER",
        "first_name": "BENJAMIN",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.015108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.