Active NPI
Heather Brunk, FNP-C
- Family Nurse Practitioner
- Sylvania, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0027949
- Practice address
- 5308 Harroun Rd Ste 55
Sylvania, OH 43560-2174 - Phone
- (419) 824-6599
- Fax
- (419) 882-3870
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0027949 | OH | Primary |
| Family Nurse Practitioner | 363LF0000X | 4704347908 | MI |
Addresses
Primary practice location
5308 Harroun Rd Ste 55
Sylvania, OH 43560-2174
Mailing address
5308 Harroun Rd Ste 55
Sylvania, OH 43560-2174
Other practice location 1
718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922697168 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-1111
5640 N Adrian Hwy
Adrian, MI 49221-8318
Phone (517) 577-0845
Hospital & facility affiliations
- Promedica Charles and Virginia Hickman Hospital
- Promedica Toledo Hospital
- Promedica Monroe Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704347908 | MI | MD | Family Nurse Practitioner |
| APRN.CNP.0027949 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Laboratory Medicine of Greater Toledo | Current | Accepting new patients | |
| The Toledo Hospital | Current | Accepting new patients | |
| Haematology-Oncology Associates of Ohio and Michigan PC | Current | Accepting new patients | |
| Family Medical Center of Michigan,Inc | Current | Accepting new patients | |
| The Toledo Hospital | Current | Accepting new patients | |
| Family Medical Center of Michigan,Inc | Current | Accepting new patients |
Locations
1200 N Main St
Adrian, MI 49221
Phone (517) 263-1800
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
1085 N Macomb St
#O
Monroe, MI 48162
Phone (734) 639-2546
8765 Lewis Ave
Temperance, MI 48182
5308 Harroun Rd
Ste 55
Sylvania, OH 43560
Phone (419) 824-6599
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
1091 Pray Blvd
Waterville, OH 43566
Phone (419) 785-3282
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- Anatomic Pathology & Clinical Pathology Physician
- Toledo, OH
- NPI 1982673372
-
- Community/Retail Pharmacy
- Toledo, OH
- NPI 1740217678
-
- Federally Qualified Health Center (FQHC)
- Monroe, MI
- NPI 1023655149
-
- Federally Qualified Health Center (FQHC)
- Temperance, MI
- NPI 1265591812
-
- Hematology & Oncology Physician
- Lambertville, MI
- NPI 1841296605
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
-
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1922697168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5308 HARROUN RD STE 55",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5308 HARROUN RD STE 55",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602174",
"telephone_number": "419-824-6599",
"fax_number": "419-882-3870"
}
],
"practiceLocations": [
{
"address_1": "718 N Macomb St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "MI",
"postal_code": "481627815",
"country_code": "US",
"telephone_number": "734-240-8835",
"fax_number": "734-240-8830",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNK",
"first_name": "HEATHER",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0027949",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704347908",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922697168",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.