Active NPI
Phillip Reid Lubbers, M.D.
- Diagnostic Radiology Physician
- Tallahassee, FL
National Provider Identifier
1720046162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME 92987
- Practice address
- 1491 Governors Square Blvd
Tallahassee, FL 32301-3049 - Phone
- (850) 383-3300
- Fax
- (850) 383-3497
- NPI assigned
- May 3, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ME 92987 | FL | Primary |
Addresses
Primary practice location
1491 Governors Square Blvd
Tallahassee, FL 32301-3049
Mailing address
PO Box 15349
Tallahassee, FL 32317-5349
Phone (850) 383-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 92987 | FL | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720046162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15349",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323175349",
"telephone_number": "850-383-3300",
"fax_number": "850-383-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1491 GOVERNORS SQUARE BLVD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323013049",
"telephone_number": "850-383-3300",
"fax_number": "850-383-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBBERS",
"first_name": "PHILLIP",
"middle_name": "REID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME 92987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.