Oludayo Bamidupe Dawodu, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

00027555 Issued in AL

Practice address

4212 Carmichael CT N
Montgomery, AL 36106-3621

Phone

(334) 213-8803

Fax

(334) 213-8815

NPI assigned

Aug 15, 2006

Sex

Male

Sole proprietor

No

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 AL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Sunbridge Gardendale Health Care Center, LLC

  • Skilled Nursing Facility
  • Gardendale, AL
  • NPI 1285684068

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452
  Medicare reassignment NPD
• Genesis Eldercare Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1598181349
  Medicare reassignment NPD
• Homeward Health Care, LLC

  • Assisted Living Facility
  • Birmingham, AL
  • NPI 1861871071
  Medicare reassignment NPD
• Alignmed Medical Group, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1366289423

  AL

  Medicare reassignment NPD
• Genesis Eldercare Physician Services LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Towson, MD
  • NPI 1699280511
  NPD
• Eight Mile Nursing and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Eight Mile, AL
  • NPI 1033282215
  NPD (past)
• Mobile Nursing and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Mobile, AL
  • NPI 1063521748
  NPD (past)
• North Hill Nursing and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Birmingham, AL
  • NPI 1861836306
  NPD (past)
• Sunbridge Gardendale Health Care Center, LLC

  • Skilled Nursing Facility
  • Gardendale, AL
  • NPI 1285684068
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184737397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 CARMICHAEL CT N",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063621",
            "telephone_number": "334-213-8803",
            "fax_number": "334-213-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 CARMICHAEL CT N",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063621",
            "telephone_number": "334-213-8803",
            "fax_number": "334-213-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWODU",
        "first_name": "OLUDAYO",
        "middle_name": "BAMIDUPE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "00027555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Edward Davis, MD
• Renita M Davis
• Som'ER Monae Davis
• Steve Davis, DMD
• Tiffany Vaneice Davis, LPC
• Rose Dawson
• Seth Dawson
• Shylanda Dawson
• DB Management Group, Inc.
• Dante V. De Jesus, MD

• General Practice Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.