BRIAN FRANKLIN PETRINE PA
NPI 1255503843
Physician Assistant in Jacksonville, FL

Q: What is Brian Petrine's NPI number?

The NPI number for Brian Petrine is 1255503843. It was assigned to this individual provider in the NPPES registry on March 24, 2008.

Q: What is Brian Petrine's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Petrine was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 24, 2008PECOS EnrolledAccepts Medicare Assignment

4205 BELFORT RD, SUITE 1100, JACKSONVILLE, FL 32216(904) 296-3103(904) 296-3106 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2020, Aug 20, 2018, Oct 31, 2017 (3 updates tracked since 2017).

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About Brian Franklin Petrine Pa NPPES

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

BRIAN FRANKLIN PETRINE PA (NPI 1255503843) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9104481) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1255503843

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBRIAN FRANKLIN PETRINECredential: PA

Location Address4205 BELFORT RD, SUITE 1100Jacksonville, FL 32216

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000

Phone(904) 296-3103

Fax(904) 296-3106

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMarch 24, 2008

Last NPPES UpdateOctober 9, 20203 updates tracked since enumeration

NPPES CertifiedOctober 9, 2020

✔ NPI 1255503843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9104481

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA9104481 (FL)

4205 BELFORT RD, Jacksonville, FL 32216

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Secondary Practice Location 1

Location 14500 San Pablo Rd SJacksonville, FL 32224-1865 · Phone (904) 953-2000

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 Franklin Petrine Pa 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 ID6002985991

PECOS Enrollment IDI20080519000318

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100151

Location4500 San Pablo RdJacksonville, FL 32224 · Duval County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

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.

MELANIE LEHMANN ARNP

Nurse Practitioner (Family)

4205 BELFORT RD, SUITE 2069
JACKSONVILLE, FL 32216

Duval County (904) 296-0278

JULIUS DEAN MD

Internal Medicine (Cardiovascular Disease)

4205 BELFORT RD, SUITE 2069
JACKSONVILLE, FL 32216

Duval County (904) 269-0278

PAMELA BUDAY PA

Physician Assistant

4205 BELFORT RD, JOE ADAMS BLDG, SUITE 2069
JACKSONVILLE, FL 32216

Duval County (904) 296-0278

MS. MARY ELIZABETH DEHAY ARNP

Nurse Practitioner (Neonatal, Critical Care)

4205 BELFORT RD, 4090
JACKSONVILLE, FL 32216

Duval County (904) 393-7910

PEDIATRIX,INC

General Acute Care Hospital (Critical Access)

4205 BELFORT RD, 4090
JACKSONVILLE, FL 32216

Duval County (904) 296-7910

MRS. DEBORAH CARTER FULOP ARNP, MSN

Nurse Practitioner (Neonatal, Critical Care)

4205 BELFORT RD, SUITE 4090
JACKSONVILLE, FL 32216

Duval County (904) 393-7910

MANOJ PULICOTTIL M.D.

Internal Medicine

4205 BELFORT RD, JOE ADAMS BLDG, SUITE 2005
JACKSONVILLE, FL 32216

Duval County (904) 398-5123

DR. ALI CHAHLAVI M.D.

Neurological Surgery

4205 BELFORT RD, JOE ADAMS BUILDING SUITE 1100
JACKSONVILLE, FL 32216

Duval County (904) 296-3103

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 Petrine's NPI number?

The NPI number for Brian Petrine is 1255503843. It was assigned to this individual provider in the NPPES registry on March 24, 2008.

Where is Brian Petrine located?

Brian Petrine practices at 4205 Belfort Rd Suite 1100, Jacksonville, FL 32216. The listed phone number is (904) 296-3103.

What is Brian Petrine's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brian Petrine enrolled in Medicare?

Yes. Brian Petrine 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.

Is Brian Petrine affiliated with any hospitals?

According to CMS data, Brian Petrine is affiliated with Mayo Clinic.

When was this NPI record last updated?

The NPPES record for Brian Petrine was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.