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

Dr. David Edward Shupe, DO

Individual provider Family Medicine Physician · NPI 1306192372

Dr. David Edward Shupe, DO is a Hospitalist in Jacksonville, Florida. Graduated from Philadelphia College of Osteopathic Medicine in 2012, 14 years ago. Practices with Baptist Primary Care Inc, a 457-clinician group and accepts Medicare assignment. Licensed in Alabama, Florida and South Carolina.

Years since qualifying
14
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
AL, FL, SC
In the registry since
2012
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205
Phone: (904) 202-3860
Fax: (904) 202-3846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence OS18845 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence LL 1615 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence DO1515 (AL)
Family Medicine Physician Taxonomy 207Q00000X · Licence OS18845 (FL)

Record details

NPI number1306192372
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 27, 2012
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025
Mailing addressPo Box 746638, Atlanta, GA 30374-6638

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Also practisesFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2012 (14 years in practice)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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