BRENT JUSTIN TILSETH M.D. NPI 1770905085

NPI Information

  • NPI: 1770905085
  • Provider Name: BRENT JUSTIN TILSETH, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2080 CHILD ST
    JACKSONVILLE, FL
    ZIP 32214
  • Phone: (904) 542-7300

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NPI Details

Brent Justin Tilseth, M.D. is a diagnostic radiology radiology in Jacksonville, FL with 11 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Brent Justin Tilseth, M.D. NPI is 1770905085. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2080 CHILD ST
JACKSONVILLE, FL
ZIP 32214-005
Phone: (904) 542-7300

The NPI 1770905085 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of chest without contrast (HCPCS:71250)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)

The enumeration date for this NPI number is 1/7/2014 and was last updated on 3/28/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyME142293FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1O9423OTHERFLORIDAMEDICARE PTAN OHRI
2XAEAAOTHERFLORIDABCBS
3PS650OTHERFLORIDAMEDICARE PTAN OHMG
4112609100MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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