Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Clive Anthony Goulbourne, MD

Individual provider Cardiovascular Disease Physician · NPI 1083024970

Dr. Clive Anthony Goulbourne, MD is a Cardiovascular Disease (Cardiology) in Springfield, Missouri. Qualified in 2009, 17 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Missouri.

Years since qualifying
17
Licensed in
GA, MO
In the registry since
2014
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1235 E Cherokee St
Springfield, MO 65804-2203
Phone: (417) 820-3911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 Clarkson Ave, Brooklyn, NY 11203-2012 — (718) 270-8867

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 2022040707 (MO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 87980 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083024970
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2014
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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