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

Ryan Brown, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215434626

Ryan Brown, MD is an Emergency Medicine in Jacksonville, Florida. Qualified in 2018, 8 years ago. Practices with The Bortolazzo Group, LLC, a 92-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone: (904) 202-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 84407 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215434626
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2018
Last updated in NPPESJanuary 20, 2023
Certification dateOctober 22, 2021
Mailing address5665 New Northside Dr Ste 200, Atlanta, GA 30328-4617

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice The Bortolazzo Group, Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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