Abisola Bernice Mesioye, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

208533 Issued in MA

Practice address

200 Springs Rd
Bedford, MA 01730-1114

Phone

(781) 687-2813

Fax

(781) 687-2228

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Abisola Bernice Famakinwa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1124111000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 LOCH RAVEN BLVD",
            "address_2": "VA MARYLAND HEALTH CARE SYSTEM",
            "city": "BALTOMORE",
            "state": "MD",
            "postal_code": "21218",
            "telephone_number": "410-605-7522",
            "fax_number": "781-687-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SPRINGS RD",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301114",
            "telephone_number": "781-687-2813",
            "fax_number": "781-687-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESIOYE",
        "first_name": "ABISOLA",
        "middle_name": "BERNICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "208533",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "208533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABISOLA",
            "last_name": "FAMAKINWA",
            "middle_name": "BERNICE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy Anne Mercadante
• Denise Mercury, RD, LDN
• Alejandro Merino, MSPT
• Merrimack Valley Internal Medicine
• Merrimack Valley Internal Medicine LTC
• Jacob Phillip Mihkelson, PMHNP-BC
• Magda Mikhil, MD
• Alissa Milewski
• Adam Ross Miller, LICSW
• Michelle Miller, RD

• Internal Medicine Physician in Bedford, MA
• Providers in Bedford, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.