Brian Michael Shaub, D.O.
Individual provider Active NPI Family Medicine Physician · Dover, FL
NPI 1992817498 · NPPES record last updated Jun 25, 2026
Key facts
- NPI
- 1992817498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS8265 (FL)
- Practice address
- 14254 Martin Luther King Blvd
Dover, FL 33527-4414 - Phone
- (813) 349-7700
- Fax
- (813) 349-7761
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Owned or controlled facilities with NPI records 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 10
| Facility | Type | Role | Since |
|---|---|---|---|
| Ruskin Health Center |
Federally qualified health center | Corporate Officer W-2 Managing Employee Operational/Managerial Control |
Jan 1, 2025 Jan 1, 2025 Jan 1, 2025 |
| Plant City Family Care |
Federally qualified health center | Corporate Officer W-2 Managing Employee Operational/Managerial Control |
Jan 1, 2025 Jan 1, 2025 Jan 1, 2025 |
| Tom Lee Community Health Center |
Federally qualified health center | Corporate Officer W-2 Managing Employee Operational/Managerial Control |
Jan 1, 2022 Jan 1, 2022 Jan 1, 2022 |
| Suncoast Community Health Centers Inc |
Federally qualified health center | Corporate Officer W-2 Managing Employee Operational/Managerial Control |
Jan 1, 2025 Jan 1, 2025 Jan 1, 2025 |
| Brandon Community Health Center |
Federally qualified health center | Corporate Officer W-2 Managing Employee Operational/Managerial Control |
Jan 1, 2022 Jan 1, 2022 Jan 1, 2022 |
| SCHC Womens Care of Lakeland |
Federally qualified health center | Corporate Officer W-2 Managing Employee Operational/Managerial Control |
Jan 1, 2025 Jan 1, 2025 Jan 1, 2025 |
| Suncoast Community Health Centers Inc |
Federally qualified health center | Corporate Officer W-2 Managing Employee Operational/Managerial Control |
Jan 1, 2025 Jan 1, 2025 Jan 1, 2025 |
| Thonotosassa Community Health Center |
Federally qualified health center | Corporate Officer W-2 Managing Employee Operational/Managerial Control |
Jan 1, 2022 Jan 1, 2022 Jan 1, 2022 |
| Suncoast Community Health Centers Inc |
Federally qualified health center | W-2 Managing Employee Operational/Managerial Control |
Mar 17, 2025 Mar 17, 2025 |
| Suncoast Community Health Centers Inc |
Federally qualified health center | W-2 Managing Employee Operational/Managerial Control |
Feb 2, 2026 Feb 2, 2026 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040712000247 | FL | Practitioner - Family Practice | 4385622885 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS8265 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Community Health Centers Inc | Current |
Accepting new patients | |
| Suncoast Community Health Centers, Inc | Current |
Accepting new patients | |
| Family Medicine Associates | Family Medicine | Past | Accepting new patients |
| Suncoast Community Health Centers Inc | Family Medicine | Past | Accepting new patients |
| Suncoast Community Health Centers Inc | Past | Accepting new patients |
Locations
313 S Lakewood Dr
Brandon, FL 33511
Phone (813) 349-7900
14254 Martin Luther King Blvd
Dover, FL 33527
Phone (813) 349-7700
801 E Baker St
Plant City, FL 33563
Phone (813) 349-7649
13110 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 349-7567
2814 14th Ave SE
Ruskin, FL 33570
Phone (813) 349-7800
Interoperability endpoints
- brian.shaub@suncoastchc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS8265 | FL | Yes |
Addresses
Primary practice location
14254 Martin Luther King Blvd
Dover, FL 33527-4414
Mailing address
13110 Elk Mountain Dr
Riverview, FL 33579-7182
Phone (813) 349-7568
Other practice location 1
3706 N Roosevelt Blvd Ste E&g
Key West, FL 33040-4564
Phone (305) 517-6613
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266531000 | Medicaid | FL |
Other providers in Dover, FL
- Francesca Noelle Prestia
- Sara Kay Proctor
- Edward Craig Reller
- Jared Cole Rhodes
- Sylvia M. Santiago
- Donald Edward Smith
- Jeanette Solak
- Specially Fit Foundation
- Suncoast Community Health Center Inc
- Suncoast Community Health Centers Inc
All providers in Dover, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.