Brian Henderson

Individual provider Active NPI Community Health Worker · Beachwood, OH

NPI 1679415731 · NPPES record last updated Apr 8, 2026

Key facts

NPI
1679415731
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
26300 Cedar Rd Ste 1105
Beachwood, OH 44122-1190
Phone
(300) 324-0123
NPI assigned
Apr 8, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X OH Yes

Addresses

Primary practice location

26300 Cedar Rd Ste 1105
Beachwood, OH 44122-1190

Mailing address

26300 Cedar Rd Ste 1105
Beachwood, OH 44122-1190
Phone (300) 324-0123

Other providers in Beachwood, OH

All providers in Beachwood, OH · Community Health Worker in Ohio

Sources for this page

Verify at the official NPI Registry.