Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Bonzo

Individual provider Registered Nurse · NPI 1174302806

Brian Bonzo is a Certified Registered Nurse Anesthetist (CRNA) in Jacksonville, Florida. Qualified in 2023, 3 years ago. Practices with Anesthesia Dynamics LLC, a 880-clinician group and accepts Medicare assignment. Licensed in Florida and Rhode Island.

Years since qualifying
3
Licensed in
FL, RI
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2080 Child St Dept 5000
Jacksonville, FL 32214-5000
Phone: (904) 542-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN11028851 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN49804 (RI)

Record details

NPI number1174302806
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 22, 2023
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address2080 Child St Dept 5000, Jacksonville, FL 32214-5000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Anesthesia Dynamics Llc — 880 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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