Greenbrook Medical Practice, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GREENBROOK MEDICAL PRACTICE, PLLC

Practice address

11200 E Dr Martin Luther King Jr Blvd Ste 107
Seffner, FL 33584-8351

Phone

(813) 443-3399

NPI assigned

Oct 18, 2021

Organization subpart

No

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

Authorized official

Name

Raj Machhar, MDNPI 1972948701

Title

Chief Medical Officer

Phone

(813) 443-3399

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raj Machhar, MD

  • Internal Medicine Physician
  • Seffner, FL
  • NPI 1972948701

  FL, Internal Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Esteban Diez, MD

  • Internal Medicine Physician
  • Hudson, FL
  • NPI 1790314177

  FL, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Shereen Naccour, MD

  • Student in an Organized Health Care Education/Training Program
  • Beaumont, TX
  • NPI 1003499898

  FL

  Medicare reassignment Care Compare group NPD
• Manish B. Baria, M.D.

  • Internal Medicine Physician
  • Saint Petersburg, FL
  • NPI 1235111519

  FL, Internal Medicine

  Medicare reassignment NPD
• Aida R Berdasco Paz, MD

  • General Practice Physician
  • Brandon, FL
  • NPI 1801820543

  FL

  Medicare reassignment NPD
• Howard Henry Farrington III, MD

  • Family Medicine Physician
  • Spring Hill, FL
  • NPI 1538268354

  FL

  Medicare reassignment NPD
• Abhishek Gulati, D.O.

  • Family Medicine Physician
  • Bradenton, FL
  • NPI 1205284288

  FL

  Medicare reassignment NPD
• Leila Shafiq, MD

  • Internal Medicine Physician
  • Brandon, FL
  • NPI 1962142125

  FL, Internal Medicine

  Medicare reassignment NPD
• Elizabeth Hernandez-Chowdhari, MD

  • Internal Medicine Physician
  • Brooksville, FL
  • NPI 1336884964

  Internal Medicine

  NPD
• Kishan Patel, MD

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1053800235

  Internal Medicine

  NPD
• Laura Ruiz Viamonte, MD

  • Family Medicine Physician
  • Spring Hill, FL
  • NPI 1992407175
  NPD
• Prakash Machhar

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1629127162

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785628800000",
    "number": "1457014342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 E DR MARTIN LUTHER KING JR BLVD STE 107",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335848351",
            "telephone_number": "813-443-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 E DR MARTIN LUTHER KING JR BLVD STE 107",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335848351",
            "telephone_number": "813-443-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5406 Little Rd",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346551103",
            "country_code": "US",
            "telephone_number": "727-748-0330",
            "fax_number": "727-748-0533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6811 State Road 54",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346536018",
            "country_code": "US",
            "telephone_number": "727-815-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13806 Little Rd",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346678025",
            "country_code": "US",
            "telephone_number": "727-857-4753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10453 Stelling Drive",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "33578",
            "country_code": "US",
            "telephone_number": "813-709-7771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1436 Pinehurst Dr",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "FL",
            "postal_code": "346064553",
            "country_code": "US",
            "telephone_number": "352-353-2037",
            "fax_number": "352-225-7267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7167 Broad St",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346015536",
            "country_code": "US",
            "telephone_number": "352-320-8491",
            "fax_number": "352-320-8517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREENBROOK MEDICAL PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A",
        "authorized_official_last_name": "MACHHAR",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "813-443-3399",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel A Gonzalez Fernandez, RBT -24-349269
• Kaitlynne Goz
• Charree' Graham, LCSW
• Grand Canyon Group Home LLC
• Grandbrook Home Care LLC
• Jasmine Greenlee
• Gregory Cagle, O.D., P.a.
• Craig Lee Groves Jr., DMD
• Jacqueline L Hannigan, MS ED
• Harris Helping Hands LLC

• Primary Care Clinic/Center in Seffner, FL
• Providers in Seffner, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.