Individual provider

Tonia Brousseau, DO

Pediatric Emergency Medicine (Pediatrics) Physician Pediatrics Physician Medicare enrolled

Tonia Brousseau, DO is a Pediatric Emergency Medicine (Pediatrics) Physician in Jacksonville, FL, registered under NPI 1174580682. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 820 PRUDENTIAL DR STE 713 EMERGENCY RESOURCES GROUP, Jacksonville, FL 32207. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

820 PRUDENTIAL DR STE 713 EMERGENCY RESOURCES GROUP, Jacksonville, FL 32207 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
OS9193 FL Pediatric Emergency Medicine (Pediatrics)… primary
OS9193 FL Pediatrics Physician

This provider holds licence OS9193 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pediatric Medicine
PAC ID
8224003306

Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pediatric Emergency Medicine covers

A pediatrician who has special qualifications to manage emergencies in infants and children. NUCC Health Care Provider Taxonomy, code 2080P0204X
Allopathic & Osteopathic Physicians Pediatrics Pediatric Emergency Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2080P0204X Pediatric Emergency Medicine (Pediatrics) Physician Pediatric Emergency Medicine OS9193 FL primary
208000000X Pediatrics Physician OS9193 FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1174580682 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 27, 2006
Last updatedAug 28, 2024
StatusActive
Sole proprietorNo
CredentialDO
Practice address 820 PRUDENTIAL DR STE 713
EMERGENCY RESOURCES GROUP
Jacksonville, FL 32207
(904) 396-5682
Fax (904) 346-0864
Mailing address PO BOX 863640
Orlando, FL 32886
Other identifiers 690157811B · GA MEDICAID (GA)
37967 · BCBS (FL)
269469700 (FL)
This record was updated on Aug 28, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1174580682 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 7 4 5 8 0 6 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 5 4 1 8 0 6 7

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1174580682?
NPI 1174580682 is the National Provider Identifier assigned to Tonia Brousseau, DO in Jacksonville, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatric Emergency Medicine cover?
A pediatrician who has special qualifications to manage emergencies in infants and children.
How do I contact Tonia Brousseau, DO?
The phone number on file with NPPES is (904) 396-5682, last updated Aug 28, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Tonia Brousseau, DO accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1174580682 a valid number?
Yes. 1174580682 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.