Active NPI
Mohamad Abed Asfour, DO
- Student in an Organized Health Care Education/Training Program
- Brooksville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 11375 Cortez Blvd
Brooksville, FL 34613-5409 - Phone
- (352) 596-6632
- NPI assigned
- Mar 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary | ||
| Diagnostic Radiology Physician | 2085R0202X | 105713 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 2025-00943 | NC |
Addresses
Primary practice location
11375 Cortez Blvd
Brooksville, FL 34613-5409
Mailing address
11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 592-2757
Other practice location 1
601 N Elm St
High Point, NC 27262-4331
Phone (336) 878-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260226002910 | NC | Practitioner - Diagnostic Radiology | 3678977519 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Lake Erie College of Osteopathic Medicine, Bradenton, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-00943 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wake Forest Health Network, LLC | Current | Accepting new patients |
Locations
1814 Westchester Dr
Ste 200
High Point, NC 27262
Phone (336) 802-2185
1814 Westchester Dr
Ste 100
High Point, NC 27262
Phone (336) 802-2397
601 N Elm St
High Point, NC 27262
Phone (336) 878-6419
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
NC
-
- Diagnostic Radiology Physician
- High Point, NC
- NPI 1265679179
Diagnostic Radiology
-
- Pediatrics Physician
- Greensboro, NC
- NPI 1053175299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1306423744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11375 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135409",
"telephone_number": "352-592-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11375 CORTEZ BLVD",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346135409",
"telephone_number": "352-596-6632"
}
],
"practiceLocations": [
{
"address_1": "601 N Elm St",
"address_purpose": "LOCATION",
"city": "High Point",
"state": "NC",
"postal_code": "272624331",
"country_code": "US",
"telephone_number": "336-878-6000",
"fax_number": "336-878-6010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASFOUR",
"first_name": "MOHAMAD",
"middle_name": "ABED",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-24",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "105713",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2025-00943",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Aug 3, 2026; 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.