Individual provider Active NPI

Trisha Kamika Brown, MD

  • Pediatrics Physician
  • Jacksonville, FL
National Provider Identifier
1891127189
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME124838 Issued in FL
Practice address
4972 Town Center Pkwy Unit 301
Jacksonville, FL 32246-8596
Phone
(904) 642-6100
Fax
(904) 642-5154
NPI assigned
Aug 8, 2013
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X ME124838 FL Primary

Addresses

Primary practice location

4972 Town Center Pkwy Unit 301
Jacksonville, FL 32246-8596

Mailing address

8078 Banville Dr
Jacksonville, FL 32210-3402
Phone (904) 755-0226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151106001427 FL Practitioner - Pediatric Medicine 9436469236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Pediatrics CurrentSince Jun 1, 2018 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson, LLC Pediatrics CurrentSince Feb 23, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Pediatric Associates of NE Florida, LLC Pediatrics PastSince Feb 23, 2025 Accepting new patients

Locations

1443 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 633-4110

4972 Town Center Pkwy
Unit 301
Jacksonville, FL 32246
Phone (904) 642-6100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1891127189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8078 BANVILLE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103402",
            "telephone_number": "904-755-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 TOWN CENTER PKWY UNIT 301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468596",
            "telephone_number": "904-642-6100",
            "fax_number": "904-642-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TRISHA",
        "middle_name": "KAMIKA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME124838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.