OLUGBEMINIYI I OLUBANJO MD NPI 1427274042

NPI Information

  • NPI: 1427274042
  • Provider Name: OLUGBEMINIYI I OLUBANJO, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2901 E BROAD ST
    MANSFIELD, TX
    ZIP 76063
  • Phone: (972) 525-9900

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NPI Details

Olugbeminiyi I Olubanjo, MD is a family medicine in Mansfield, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Olugbeminiyi I Olubanjo, MD NPI is 1427274042. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2901 E BROAD ST
MANSFIELD, TX
ZIP 76063-147
Phone: (972) 525-9900
Fax: (469) 333-7988

The NPI 1427274042 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 1/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice11012909AINDIANANo
2207Q00000XFamily MedicineN1033TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18BQ006OTHERTEXASBCBS
2195929801MEDICAIDTEXAS
3P00703560OTHERTEXASRAILROAD MEDICARE
411012909AOTHERINDIANARESIDENCY PERMIT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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