Adrian B. Clubb, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

TRN15387 Issued in FL

Practice address

1600 SW Archer Rd
N-203
Gainesville, FL 32610-0247

Phone

(352) 273-8634

Fax

(352) 273-7515

NPI assigned

Jul 6, 2010

Last updated

Jul 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1639481831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "N-203",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100247",
            "telephone_number": "352-273-8634",
            "fax_number": "352-273-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "N-203",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100247",
            "telephone_number": "352-273-8634",
            "fax_number": "352-273-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUBB",
        "first_name": "ADRIAN",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "TRN15387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M Clonan, CRNA
• Angela Kelly Cloonan
• Forrest C Clore, MD
• Julia Lee Close, MD
• Janet Clover, RN
• James R. Clugston, MD
• CMS Gainsville
• Jennifer Go Co-Vu, MD
• Anna Liza O Co, M.D.
• Loretta M Coady-Fariborzian, MD

• Urology Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.