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BRUCE WILLNER DO LLC
NPI 1730664558
Family Medicine in Youngstown, OH

Active since September 27, 2018
3622 BELMONT AVE STE 18, YOUNGSTOWN, OH 44505(330) 759-8050(330) 759-1246 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bruce Willner Do Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUCE WILLNER DO LLC (NPI 1730664558) is a healthcare organization registered as a family medicine in Youngstown, Ohio and active in the NPI registry since September 2018. The organization lists Bruce Willner, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1730664558
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRUCE WILLNER DO LLC
Location Address3622 BELMONT AVE STE 18Youngstown, OH 44505-1444
Mailing Address3622 Belmont Ave Ste 18Youngstown, OH 44505-1444 · (330) 759-8050 · Fax (330) 759-1246
Phone(330) 759-8050
Fax(330) 759-1246
Organization SubpartNo
Authorized OfficialBruce WillnerOwner/president · (330) 759-8050
Enumeration DateSeptember 27, 2018
✔ NPI 1730664558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3622 BELMONT AVE STE 18, Youngstown, OH 44505
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Other Identifiers 2

Other34-004681OH · Lic #
Medicaid0791899OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruce Willner Do Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bruce Willner Do LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bruce Willner, DO
Family Practice
NPI 1609853076
3622 BELMONT AVE STE 18
Youngstown, OH 44505
(330) 759-8050
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Willner Do LLC's NPI number?

The NPI number for Bruce Willner Do LLC is 1730664558. It was assigned to this organization in the NPPES registry on September 27, 2018.

Where is Bruce Willner Do LLC located?

Bruce Willner Do LLC is located at 3622 Belmont Ave Ste 18, Youngstown, OH 44505. The listed phone number is (330) 759-8050.

What is Bruce Willner Do LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bruce Willner Do LLC enrolled in Medicare?

Yes. Bruce Willner Do LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bruce Willner Do LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bruce Willner Do LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bruce Willner Do LLC was last updated on September 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.