NPIMap

Individual provider Active NPI

Brittney Jergovich, D.O.

  • Family Medicine Physician
  • Streetsboro, OH
National Provider Identifier
1811334147
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.013372 Issued in OH
Practice address
9480 Rosemont Dr Ste 100
Streetsboro, OH 44241-4569
Phone
(330) 626-5566
Fax
(330) 626-2042
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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 34.013372 OH Primary

Addresses

Primary practice location

9480 Rosemont Dr Ste 100
Streetsboro, OH 44241-4569

Mailing address

9480 Rosemont Dr Ste 100
Streetsboro, OH 44241-4569
Phone (330) 626-5566

Other practice location 1

175 S Union Blvd Ste 310
Colorado Springs, CO 80910-3126
Phone (719) 365-6363

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drbrittneyjergovich@portagefamilymedicine.medentdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 29, 2025 through Dec 29, 2027

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8055 Mayfield Rd
Chesterland, OH 44026-2447

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.013372OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bjergovich25104@ehrdirect.uhhospitals.org

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1811334147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 ROSEMONT DR STE 100",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414569",
            "telephone_number": "330-626-5566",
            "fax_number": "330-626-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 ROSEMONT DR STE 100",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414569",
            "telephone_number": "330-626-5566",
            "fax_number": "330-626-2042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 S Union Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809103126",
            "country_code": "US",
            "telephone_number": "719-365-6363",
            "fax_number": "719-365-5801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERGOVICH",
        "first_name": "BRITTNEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.013372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drbrittneyjergovich@portagefamilymedicine.medentdirect.com",
            "affiliation": "N",
            "address_1": "9480 Rosemont Dr Ste 100",
            "city": "Streetsboro",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442414569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

Verify at the official NPI Registry.