Individual provider Active NPI

Mahmoud Bourghli, MD

  • Pulmonary Disease Physician
  • Brooksville, FL
National Provider Identifier
1326015157
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME0079929 Issued in FL
Practice address
11349 Cortez Blvd
Brooksville, FL 34613-5404
Phone
(352) 597-0022
Fax
(352) 597-0086
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME0079929 FL Primary

Addresses

Primary practice location

11349 Cortez Blvd
Brooksville, FL 34613-5404

Mailing address

11349 Cortez Blvd
Spring Hill, FL 34613-5404
Phone (352) 597-0022

Other identifiers 2

IdentifierTypeStateIssuer
G59860OtherFLMEDICARE
112602600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bourghli@direct.practicefusion.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040402000010 FL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3173515707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11349 Cortez Blvd
Brooksville, FL 34613-5404
Phone (352) 597-0022

Hospital & facility affiliations

  • HCA Florida Oak Hill Hospital Hospital, Brooksville, FL, CCN 100264
  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0079929FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Health, PA Pulmonary Disease CurrentSince Jan 1, 2004 Accepting new patients

Locations

14540 Cortez Blvd
Ste 124
Brooksville, FL 34613
Phone (352) 597-0022

10441 Quality Dr
Ste 302
Spring Hill, FL 34609
Phone (352) 666-5100

12106 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 592-1424

11349 Cortez Blvd
Spring Hill, FL 34613
Phone (352) 597-0022

Interoperability endpoints

  • Direct secure messaging: bourghli@direct.practicefusion.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1326015157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11349 CORTEZ BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346135404",
            "telephone_number": "352-597-0022",
            "fax_number": "732-607-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11349 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135404",
            "telephone_number": "352-597-0022",
            "fax_number": "352-597-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGHLI",
        "first_name": "MAHMOUD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0079929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "G59860",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112602600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bourghli@direct.practicefusion.com",
            "affiliation": "N",
            "address_1": "11349 Cortez Blvd",
            "city": "Brooksville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346135404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.