Active NPI
Brittany Ann Bobovnyik, DO
- Family Medicine Physician
- Canfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.014889
- Practice address
- 3660 Stutz Dr Ste 102
Canfield, OH 44406-8149 - Phone
- (330) 702-1585
- Fax
- (330) 702-1383
- NPI assigned
- Mar 28, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Youngstown, OH
- NPI 1154636066
Family Medicine, OH
-
- Surgery Physician
- Youngstown, OH
- NPI 1649892225
OH
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1750920245
-
- Durable Medical Equipment & Medical Supplies
- Boardman, OH
- NPI 1386316107
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Girard, OH
- NPI 1598061418
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians Youngstown, LLC
Practice addresses (Care Compare)
3660 Stutz Dr
Suite 102
Canfield, OH 44406-8149
Phone (330) 702-1585
Hospital & facility affiliations
- Patriot Homecare, Inc
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
- Surgical Hospital at Southwoods
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210726002370 | OH | Practitioner - Family Practice | 5698022739 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Youngstown, LLC | Family Medicine | Current | Accepting new patients |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown LLC | Current | Accepting new patients | |
| Mercy Health Physicians Youngstown Specialty Care LLC | Current | Accepting new patients |
Locations
3660 Stutz Dr
Ste 102
Canfield, OH 44406
Phone (330) 702-1585
1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
9471 Market St
Ste A
North Lima, OH 44452
Phone (330) 726-7100
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
8423 Market St
Ste 101
Youngstown, OH 44512
Phone (330) 729-8700
330 Wick Ave
Youngstown, OH 44503
Phone (330) 747-4660
Interoperability endpoints
- bbobovnyik362033@direct.bsmhealth.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.014889 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3660 Stutz Dr Ste 102
Canfield, OH 44406-8149
Mailing address
3660 Stutz Dr Ste 102
Canfield, OH 44406-8149
Phone (330) 702-1585
Other practice location 1
9471 Market St Ste A
North Lima, OH 44452-8702
Phone (330) 726-7100
Other practice location 2
330 Wick Ave
Youngstown, OH 44503-1002
Phone (330) 747-4660
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0415762 | Medicaid | OH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 3, 2023.
{
"created_epoch": "1522195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1255836458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 STUTZ DR STE 102",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444068149",
"telephone_number": "330-702-1585",
"fax_number": "330-702-1383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 STUTZ DR STE 102",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444068149",
"telephone_number": "330-702-1585",
"fax_number": "330-702-1383"
}
],
"practiceLocations": [
{
"address_1": "9471 Market St Ste A",
"address_purpose": "LOCATION",
"city": "North Lima",
"state": "OH",
"postal_code": "444528702",
"country_code": "US",
"telephone_number": "330-726-7100",
"fax_number": "330-758-0347",
"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": "330-747-4660",
"fax_number": "330-747-4661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOBOVNYIK",
"first_name": "BRITTANY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-28",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.014889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0415762",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.