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DR. TONIA BROUSSEAU DO
NPI 1174580682
Pediatrics - Pediatric Emergency Medicine in Jacksonville, FL

Active since April 27, 2006PECOS Enrolled
820 PRUDENTIAL DR STE 713, EMERGENCY RESOURCES GROUP, JACKSONVILLE, FL 32207(904) 396-5682(904) 346-0864 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tonia Brousseau Do NPPES

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

DR. TONIA BROUSSEAU DO (NPI 1174580682) is an individual pediatric emergency medicine provider in Jacksonville, Florida, licensed in Florida (OS9193) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174580682
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. TONIA BROUSSEAUCredential: DO
Location Address820 PRUDENTIAL DR STE 713, EMERGENCY RESOURCES GROUPJacksonville, FL 32207-8209
Mailing AddressPo Box 863640Orlando, FL 32886-3640 · (904) 396-5682 · Fax (904) 346-0864
Phone(904) 396-5682
Fax(904) 346-0864
Sole ProprietorNo
Enumeration DateApril 27, 2006
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1174580682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in FL · OS9193
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License OS9193 (FL)
820 PRUDENTIAL DR STE 713, Jacksonville, FL 32207
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Other Identifiers 3

Other690157811BGA · Ga Medicaid
Other37967FL · Bcbs
Medicaid269469700FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tonia Brousseau Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

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

STEPHANIE AGELY MD
Emergency Medicine
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
APRIL DAWN CLAY FNP-C
Nurse Practitioner
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
MS. SABRINA M DRENCHKO FNP-C
Nurse Practitioner (Family)
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207
Duval County (904) 396-8673
HEIDI NEAL KENNEY MD
Emergency Medicine
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207
Duval County (800) 936-5996
DR. ZACHARY WILKERSON D.O.
Emergency Medicine
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
VALERIE A WARNE MD
Emergency Medicine
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207
Duval County (904) 396-5682
DR. KYLIE WAINER
Emergency Medicine
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207
Duval County (800) 936-5996
LAURA R DIMMICK MD
Emergency Medicine
820 PRUDENTIAL DR STE 713
JACKSONVILLE, FL 32207
Duval County (904) 396-5682

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 Tonia Brousseau's NPI number?

The NPI number for Tonia Brousseau is 1174580682. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Tonia Brousseau located?

Tonia Brousseau practices at 820 Prudential Dr Ste 713 Emergency Resources Group, Jacksonville, FL 32207. The listed phone number is (904) 396-5682.

What is Tonia Brousseau's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Tonia Brousseau enrolled in Medicare?

Yes. Tonia Brousseau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tonia Brousseau was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.