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FORTUNE EGBULEFU MD NPI 1497002471


NPI Information

NPI: 1497002471
Provider Name: FORTUNE EGBULEFU, MD
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

Organization: LAS VEGAS MEDICAL GROUP LLC

PECOS Registration: Yes

Address:
4700 LAS VEGAS BLVD N
NELLIS AFB, NV
ZIP 89191
Phone: (702) 653-3040
Get Directions

Fortune Egbulefu, MD is an adult reconstructive orthopaedic surgery orthopaedic surgery in Nellis Afb, NV with 12 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. Fortune Egbulefu, MD NPI is 1497002471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

4700 LAS VEGAS BLVD N
NELLIS AFB, NV
ZIP 89191-600
Phone: (702) 653-3040

The NPI 1497002471 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/9/2012 and was last updated on 4/14/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery036.148440ILLINOISYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.