Individual provider Active NPI

Brittney Roberts, PA

  • Medical Physician Assistant
  • Toledo, OH
National Provider Identifier
1871152769
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.006015 Issued in OH
Practice address
2627 Tremainsville Rd
Toledo, OH 43613-2509
Phone
(567) 803-0425
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601009779 MI
Medical Physician Assistant 363AM0700X 50.006015 OH Primary

Addresses

Primary practice location

2627 Tremainsville Rd
Toledo, OH 43613-2509

Mailing address

2627 Tremainsville Rd
Toledo, OH 43613-2509
Phone (567) 803-0425

Other practice location 1

4405 N Holland Sylvania Rd
Toledo, OH 43623-3529
Phone (419) 517-0146

Other practice location 2

505 N Reynolds Rd
Toledo, OH 43615-0705
Phone (567) 803-0421

Other practice location 3

7224 Dutch Rd
Waterville, OH 43566-9831
Phone (419) 517-4664

Other practice location 4

3626 S Detroit Ave
Toledo, OH 43614-4412
Phone (419) 272-6020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190815003648 OH Practitioner - Physician Assistant 7416284245 Reassigns benefits to 2 organizations
I20201016000762 MI Practitioner - Physician Assistant 7416284245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Toledo College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Urgent Care LLCGroup PAC ID 6406232230, 67 clinicians
Mercy Health Urgent Care Mi PLLCGroup PAC ID 0941722664, 4 clinicians

Practice addresses (Care Compare)

1064 State Route 28
Unit F
Milford, OH 45150-4940
Phone (513) 981-4050

2627 Tremainsville Rd
Toledo, OH 43613-2509
Phone (567) 803-0425

3805 N Dixie Hwy
Monroe, MI 48162-4489
Phone (734) 206-2016

4405 N Holland Sylvania Rd
Toledo, OH 43623-3529
Phone (567) 803-0426

6601 Lewis Ave
Temperance, MI 48182-1209
Phone (734) 206-2016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601009779MIMDMedical Physician Assistant
50.006015OHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Toledo Urgent Care LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: broberts2800617@direct.bsmhealth.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1871152769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 TREMAINSVILLE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436132509",
            "telephone_number": "567-803-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 TREMAINSVILLE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436132509",
            "telephone_number": "567-803-0425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4405 N Holland Sylvania Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436233529",
            "country_code": "US",
            "telephone_number": "419-517-0146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 N Reynolds Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436150705",
            "country_code": "US",
            "telephone_number": "567-803-0421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7224 Dutch Rd",
            "address_purpose": "LOCATION",
            "city": "Waterville",
            "state": "OH",
            "postal_code": "435669831",
            "country_code": "US",
            "telephone_number": "419-517-4664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3626 S Detroit Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436144412",
            "country_code": "US",
            "telephone_number": "419-272-6020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BRITTNEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601009779",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.006015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.