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

Dr. Shane Daryl Gober, DO

Individual provider Emergency Medicine Physician · NPI 1770781635

Dr. Shane Daryl Gober, DO is an Emergency Medicine in Clinton Township, Michigan. Qualified in 2004, 22 years ago. Practices with Phoenix Emergency Medicine of Broward LLC, a 68-clinician group and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
22
Licensed in
FL, MI
In the registry since
2007
Specialties on file
2
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

15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone: (586) 263-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5101017125 (MI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence OS9579 (FL)

Record details

NPI number1770781635
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 3, 2007
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing address15456 Claremont Dr N, Clinton Township, MI 48038-3562

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Phoenix Emergency Medicine Of Broward Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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