Organization Active NPI

Delta Health, PA

  • Pulmonary Disease Physician
  • Brooksville, FL
National Provider Identifier
1982890174
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME79929 Issued in FL
Legal business name
DELTA HEALTH, PA
Practice address
11349 Cortez Blvd
Brooksville, FL 34613-5404
Phone
(352) 597-0022
Fax
(732) 607-5118
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Dr. Mahmoud Bourghli, M.D.NPI 1326015157
Title
Owner
Phone
(352) 597-0022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X ME79929 FL Primary

Addresses

Primary practice location

11349 Cortez Blvd
Brooksville, FL 34613-5404

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
K5212OtherFLMEDICARE GROUP ID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bourghli@direct.practicefusion.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401001321 FL Part B Supplier - Clinic/Group Practice 3678565298 Receives reassigned benefits from 1 practitioner
Practice locations: Brooksville, FL

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1982890174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11349 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "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": "732-607-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "BOURGHLI",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-597-0022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME79929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "K5212",
            "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.