Bamidele Olawale Johnson, is a
Student In An Organized Health Care Education/training Program based in Brooklyn, New York. Bamidele Olawale Johnson is licensed to practice in * (Not Available) (license number ) and his current practice location is
1 Brookdale Plz, Brooklyn, New York. He can be reached at his office (for appointments etc.) via phone at
(718) 613-4334.
NPI number for Bamidele Olawale Johnson is 1669969382 and his current mailing address is 15005 Health Center Dr, Bowie, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669969382.
Healthcare Provider's Profile
| Full Name | Bamidele Olawale Johnson |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1 Brookdale Plz, Brooklyn, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669969382
- Provider Enumeration Date: 04/18/2018
- Last Update Date: 06/22/2022
Medical Identifiers
Medical identifiers for Bamidele Olawale Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669969382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bamidele Olawale Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bamidele Olawale Johnson,
15005 Health Center Dr,
Bowie, MD 20716-1017
Ph: () - | Bamidele Olawale Johnson,
1 Brookdale Plz,
Brooklyn, NY 11212-3139
Ph: (718) 613-4334 |
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