Individual provider Active NPI

Oladele Adepitan Adebogun, MD. PA.

  • Psychiatry Physician
  • Flower Mound, TX
National Provider Identifier
1104822097
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
N6128 Issued in TX
Practice address
777 International Pkwy Ste 260
Flower Mound, TX 75022-5303
Phone
(972) 221-7900
Fax
(972) 221-7901
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geode Health of Texas, PLLC 158 clinicians

Practice addresses (Care Compare)

777 International Pkwy
Flower Mound, TX 75022-5301
Phone (972) 221-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20071228000508 AR Practitioner - Psychiatry 5698872547 Reassigns benefits to 1 organization
I20140115000694 TX Practitioner - Psychiatry 5698872547 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
BSW Geode Clinicians of Texas PLLC Psychiatry CurrentSince Sep 1, 2025 Accepting new patients
Southwest Arkansas Counseling and Mental Health Center, Inc CurrentSince Jul 1, 1998 Accepting new patients
Geode Health of Texas, PLLC Psychiatry CurrentSince Jan 17, 2023 Accepting new patients
Braindocs Psychiatry Past Accepting new patients

Locations

2904 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 773-4655

610 S Watters Rd
Ste 130
Allen, TX 75013
Phone (469) 854-3263

777 International Pkwy
Ste 260
Flower Mound, TX 75022
Phone (214) 310-0508

777 International Pkwy
Flower Mound, TX 75022

1701 River Run
Fort Worth, TX 76107
Phone (254) 768-3397

1701 River Run
Ste 1118
Fort Worth, TX 76107
Phone (817) 865-3954

3140 Legacy Dr
Ste 130
Frisco, TX 75034
Phone (888) 902-1704

3140 Legacy Dr
Frisco, TX 75034
Phone (972) 566-7788

5899 Preston Rd
Ste 901
Frisco, TX 75034
Phone (469) 253-5894

4119 Montrose Blvd
Ste 230
Houston, TX 77006
Phone (281) 990-1506

768 Bandit Trl
Keller, TX 76248
Phone (817) 865-3954

3009 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (469) 808-1690

7000 Bee Caves Rd
Ste 325
West Lake Hills, TX 78746
Phone (512) 200-8334

Interoperability endpoints

  • Direct secure messaging: oladele.adebogun.2@25899.direct.athenahealth.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E-1599 AR
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X N6128 TX
Psychiatry Physician 2084P0800X N6128 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

777 International Pkwy Ste 260
Flower Mound, TX 75022-5303

Mailing address

2904 Arkansas Blvd
Texarkana, AR 71854-2536
Phone (870) 773-4655

Other practice location 1

5899 Preston Rd Bldg 9
Frisco, TX 75034-9586
Phone (972) 221-7900

Other practice location 2

3140 Legacy Dr Ste 130
Frisco, TX 75034-7919
Phone (972) 221-7900

Other practice location 3

1701 River Run Ste 1118
Fort Worth, TX 76107-6557
Phone (972) 221-7900

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
116300726MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 11, 2026.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1104822097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 ARKANSAS BLVD",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718542536",
            "telephone_number": "870-773-4655",
            "fax_number": "870-772-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 INTERNATIONAL PKWY STE 260",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750225303",
            "telephone_number": "972-221-7900",
            "fax_number": "972-221-7901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5899 Preston Rd Bldg 9",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750349586",
            "country_code": "US",
            "telephone_number": "972-221-7900",
            "fax_number": "972-221-7901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3140 Legacy Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750347919",
            "country_code": "US",
            "telephone_number": "972-221-7900",
            "fax_number": "972-221-7901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 River Run Ste 1118",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761076557",
            "country_code": "US",
            "telephone_number": "972-221-7900",
            "fax_number": "972-221-7901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEBOGUN",
        "first_name": "OLADELE",
        "middle_name": "ADEPITAN",
        "name_prefix": "Dr.",
        "credential": "MD. PA.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-1599",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TX",
            "license": "N6128",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N6128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116300726",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.