Thomas Ikechukwu Ogbu, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN257188 Issued in MA

Practice address

32 Marlene Ave
Brockton, MA 02301-3140

Phone

(774) 360-3750

NPI assigned

Apr 5, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1290.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: ms_togbu@landmarkhealth-direct.org

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.

• Brockton Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Brockton, MA
  • NPI 1225085319
  Medicare reassignment NPD
• Aniket Chakrabarti, M.D.

  • Internal Medicine Physician
  • Pembroke, MA
  • NPI 1932282936
  Medicare reassignment
• Pinnacle Healthcare Services LLC

  • Gerontology Nurse Practitioner
  • Braintree, MA
  • NPI 1942635339
  Medicare reassignment
• Brockton Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Brockton, MA
  • NPI 1497148407
  NPD
• Brockton Neighborhood Health Center, Inc.

  • Community/Retail Pharmacy
  • Brockton, MA
  • NPI 1528704061
  NPD
• Aniket Chakrabarti MD PC

  • Internal Medicine Physician
  • Pembroke, MA
  • NPI 1639472442
  NPD (past)

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1124551387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 MARLENE AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013140",
            "telephone_number": "774-360-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 MARLENE AVE",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013140",
            "telephone_number": "774-360-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBU",
        "first_name": "THOMAS",
        "middle_name": "IKECHUKWU",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN257188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omorovbiye T Odigie, PA
• Toyin Odogun
• Eileen M Odonnell, CRNA
• Christiana Odunze, NURSE PRACTITIONER
• Odyssey Medical Associates LLC
• Chioma Adaku Ogunedo, NP
• Steven H Oh, MD
• Cajetan Anayo Ohaya, PROVIDER
• Theresa Ann Ohrenberger, BSN
• Aderinola Ojengbede, MD

• Primary Care Nurse Practitioner in Brockton, MA
• Providers in Brockton, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.