1. Home
  2. Directory
  3. Florida
  4. Brooksville
  5. Family Medicine
  6. NPI Profile

GOOD SHEPHERD MEDICAL CLINIC PA
NPI 1417116575
Family Medicine in Brooksville, FL

Active since June 04, 2008
11329 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 596-5052(352) 596-5244 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Good Shepherd Medical Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SHEPHERD MEDICAL CLINIC PA (NPI 1417116575) is a healthcare organization registered as a family medicine in Brooksville, Florida and active in the NPI registry since June 2008. The organization lists Roger B Lee, President, as its authorized official.

NPPES Registry Identity

NPI1417116575
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGOOD SHEPHERD MEDICAL CLINIC PA
Location Address11329 CORTEZ BLVDBrooksville, FL 34613
Mailing Address11329 Cortez BlvdBrooksville, FL 34613-5407 · (352) 596-5052 · Fax (352) 596-5244
Phone(352) 596-5052
Fax(352) 596-5244
Organization SubpartYes
Authorized OfficialRoger B LeePresident · (352) 686-5023
Enumeration DateJune 4, 2008
Last NPPES UpdateJune 25, 2008
✔ NPI 1417116575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME46566
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11329 CORTEZ BLVD, Brooksville, FL 34613
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIND56026FL
Medicare PIN24312HFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKSVILLE HMA PHYSICIAN MANAGEMENT LLC
Family Medicine
11329 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 596-5052
DR. BRIAN M ROEBUCK M.D.
Family Medicine
11329 CORTEZ BLVD
BROOKSVILLE, FL 34613
Hernando County (352) 596-5052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Good Shepherd Medical Clinic PA's NPI number?

The NPI number for Good Shepherd Medical Clinic PA is 1417116575. It was assigned to this organization in the NPPES registry on June 4, 2008.

Where is Good Shepherd Medical Clinic PA located?

Good Shepherd Medical Clinic PA is located at 11329 Cortez Blvd, Brooksville, FL 34613. The listed phone number is (352) 596-5052.

What is Good Shepherd Medical Clinic PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Good Shepherd Medical Clinic PA was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.