Individual provider Active NPI

Olabisi Comfort Badewa, CRNP

  • Family Nurse Practitioner
  • Bessemer, AL
National Provider Identifier
1225876428
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-143906 Issued in AL
Practice address
1007 9TH Ave N
Bessemer, AL 35020-5311
Phone
(205) 358-9300
Fax
(205) 358-9306
NPI assigned
Jul 20, 2024
Last updated
Jul 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-143906 AL Primary

Addresses

Primary practice location

1007 9TH Ave N
Bessemer, AL 35020-5311

Mailing address

1007 9TH Ave N
Bessemer, AL 35020-5311
Phone (205) 358-9300

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218001367 AL Practitioner - Nurse Practitioner 6305373135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

72 County Rd
Suite 304
Calera, AL 35040-5551
Phone (205) 319-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Nov 7, 2024 Accepting new patients
American Family Care, LLC CurrentSince Nov 7, 2024 Accepting new patients
Signify Health, LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

1007 9th Ave N
Bessemer, AL 35020
Phone (205) 358-9300

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 538-0244

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1225876428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 9TH AVE N",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350205311",
            "telephone_number": "205-358-9300",
            "fax_number": "205-358-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 9TH AVE N",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350205311",
            "telephone_number": "205-358-9300",
            "fax_number": "205-358-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADEWA",
        "first_name": "OLABISI",
        "middle_name": "COMFORT",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-143906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.