Active NPI
Brian M Roebuck, M.D.
- Family Medicine Physician
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME46566
- Practice address
- 11329 Cortez Blvd
Brooksville, FL 34613-5407 - Phone
- (352) 596-5052
- Fax
- (352) 596-5244
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME46566 | FL | Primary |
Addresses
Primary practice location
11329 Cortez Blvd
Brooksville, FL 34613-5407
Mailing address
11329 Cortez Blvd
Brooksville, FL 34613-5407
Phone (352) 596-5052
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51266Z | Other | FL | BCBS |
| 016216800 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brian.roebuck.1@4692.direct.athenahealth.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wayne State University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8425 Northcliffe Blvd
Suite 112
Spring Hill, FL 34606-1107
Phone (352) 686-2360
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Good Shepherd Medical Clinic PA | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Family Medicine | Past | Accepting new patients |
Locations
8425 Northcliffe Blvd
Ste 109
Spring Hill, FL 34606
Phone (352) 596-9550
8425 Northcliffe Blvd
Ste 112
Spring Hill, FL 34606
Phone (352) 686-2360
8425 Northcliffe Blvd
Ste 108
Spring Hill, FL 34606
Phone (352) 597-2501
8425 Northcliffe Blvd
Ste 101
Spring Hill, FL 34606
Phone (352) 576-5041
8425 Northcliffe Blvd
Ste 111
Spring Hill, FL 34606
Phone (352) 686-2360
2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- broebuck300940@direct.tgh.org
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Spring Hill, FL
- NPI 1316981236
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
dba TGH Heart & Vascular Institute Sun City
- Cardiovascular Disease Physician
- Sun City Center, FL
- NPI 1144910316
-
dba TGMG Trinity
- Internal Medicine Physician
- Trinity, FL
- NPI 1962819250
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Oak Hill Hospital
- General Acute Care Hospital
- Brooksville, FL
- NPI 1013961838
-
dba Pinnacle Home Care
- Home Health Agency
- Spring Hill, FL
- NPI 1467488999
-
dba Tampa General Hospital Brooksville
- General Acute Care Hospital
- Brooksville, FL
- NPI 1063294197
-
dba Tampa General Hospital Spring Hill
- General Acute Care Hospital
- Spring Hill, FL
- NPI 1275305013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1164456059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11329 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135407",
"telephone_number": "352-596-5052",
"fax_number": "352-596-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11329 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135407",
"telephone_number": "352-596-5052",
"fax_number": "352-596-5244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEBUCK",
"first_name": "BRIAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME46566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51266Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016216800",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brian.roebuck.1@4692.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"address_1": "8425 Northcliffe Blvd Ste 108",
"city": "Spring Hill",
"state": "FL",
"country_code": "US",
"postal_code": "346061107",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooksville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.