BRIAN BONZO
NPI 1174302806
Nurse Anesthetist, Certified Registered in Jacksonville, FL

Active since September 22, 2023Accepts Medicare Assignment
2080 CHILD ST DEPT 5000, JACKSONVILLE, FL 32214(904) 542-7300 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian Bonzo NPPES

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

BRIAN BONZO (NPI 1174302806) is an individual nurse anesthetist, certified registered in Jacksonville, Florida, licensed in Florida (RN11028851) and active in the NPI registry since September 2023. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1174302806
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBRIAN BONZO
Location Address2080 CHILD ST DEPT 5000Jacksonville, FL 32214-5000
Mailing Address2080 Child St Dept 5000Jacksonville, FL 32214-5000 · (904) 542-7300
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 22, 2023
Last NPPES UpdateOctober 10, 2023
NPPES CertifiedOctober 10, 2023
NPI 1174302806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in FL · RN11028851
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License RN49804 (RI)
2080 CHILD ST DEPT 5000, Jacksonville, FL 32214

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brian Bonzo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628501061
PECOS Enrollment IDI20241024000555

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Dentist (General Practice)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Military Health Care Provider
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Military Health Care Provider
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Military Health Care Provider
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
Radiology (Diagnostic Radiology)
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214
General Practice
2080 CHILD ST DEPT 5000
JACKSONVILLE, FL 32214

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 Brian Bonzo's NPI number?

The NPI number for Brian Bonzo is 1174302806. It was assigned to this individual provider in the NPPES registry on September 22, 2023.

Where is Brian Bonzo located?

Brian Bonzo practices at 2080 Child St Dept 5000, Jacksonville, FL 32214. The listed phone number is (904) 542-7300.

What is Brian Bonzo's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Brian Bonzo enrolled in Medicare?

Yes. Brian Bonzo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brian Bonzo was last updated on October 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.