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

Shane Anthony Bobart, MD

Individual provider Nephrology Physician · NPI 1225456882

Shane Anthony Bobart, MD is a Nephrology in Jacksonville, Florida. Qualified in 2014, 12 years ago. Practices with Mayo Clinic Jacksonville, a 1,581-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Texas.

Years since qualifying
12
Licensed in
FL, TX
In the registry since
2014
Specialties on file
2
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

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6550 Fannin St Ste 1001, Houston, TX 77030-2740 — (713) 363-8592

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence ME144535 (FL)
Nephrology Physician Taxonomy 207RN0300X · Licence U3482 (TX)

Record details

NPI number1225456882
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2014
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing addressPo Box 860912, Minneapolis, MN 55486-0912

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mayo Clinic Jacksonville — 1581 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Jacksonville