Oluwafunmiso Ibunkun Fagbongbe, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

T9103 Issued in TX

Practice address

2451 University Hospital Dr
Mobile, AL 36617-2300

Phone

(251) 472-7207

NPI assigned

Mar 26, 2020

Last updated

Apr 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AL2 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.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cooper Green Mercy Health Services Authority an Affiliate of UabGroup PAC ID 0840629473, 95 clinicians

Radiology Associates of Birmingham, P.C.Group PAC ID 7214928571, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincent's Birmingham Hospital, Birmingham, AL, CCN 010056
• Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139
• Russell Medical Center Hospital, Alexander City, AL, CCN 010065
• St Vincent's St Clair Hospital, Pell City, AL, CCN 010130
• St Vincents Blount Hospital, Oneonta, AL, CCN 011305

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Cooper Green Mercy Health Services Authority an Affiliate of Uab

  • Clinic/Center
  • Birmingham, AL
  • NPI 1366073108
  Medicare reassignment Care Compare group NPD
• Radiology Associates of Birmingham PC

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1093778706
  Medicare reassignment Care Compare group NPD
• St Vincents Ambulatory Healthcare Network LLC

  • Physiological Laboratory
  • Trussville, AL
  • NPI 1033646823
  Medicare reassignment NPD
• St Vincents Ambulatory Healthcare Network LLC

  • Physiological Laboratory
  • Birmingham, AL
  • NPI 1588190441
  Medicare reassignment NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• Maverick County Rural Radiologists P a

  • Diagnostic Radiology Physician
  • Eagle Pass, TX
  • NPI 1437117181
  Medicare reassignment
• American Health Imaging of Alabama LLC

  dba American Health Imaging of Shelby

  • Radiology Clinic/Center
  • Alabaster, AL
  • NPI 1164029948
  NPD
• American Health Imaging of Alabama LLC

  dba American Health Imaging 3T of Brookwood

  • Radiology Clinic/Center
  • Birmingham, AL
  • NPI 1427655869
  NPD
• American Health Imaging of Alabama LLC

  dba American Health Imaging of Greystone

  • Radiology Clinic/Center
  • Hoover, AL
  • NPI 1518564392
  NPD
• American Health Imaging of Alabama LLC

  dba American Health Imaging of Homewood

  • Radiology Clinic/Center
  • Homewood, AL
  • NPI 1538766316
  NPD
• American Health Imaging of Alabama LLC

  dba American Health Imaging Open Upright MRI

  • Radiology Clinic/Center
  • Homewood, AL
  • NPI 1609473040
  NPD
• American Health Imaging of Alabama LLC

  dba American Health Imaging of Huntsville

  • Radiology Clinic/Center
  • Huntsville, AL
  • NPI 1629807367
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• BBH BMC, LLC

  dba Baptist Health Brookwood Hospital

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1003260480
  Care Compare affiliation
• Russell Hospital Corporation

  dba Russell Medical Center

  • General Acute Care Hospital
  • Alexander City, AL
  • NPI 1811913460
  Care Compare affiliation
• St Vincents Blount

  • Critical Access Hospital
  • Oneonta, AL
  • NPI 1184967523
  Care Compare affiliation
• St. Vincent's Birmingham

  dba Ascension St. Vincent's Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1841298999
  Care Compare affiliation
• St. Vincent's St. Clair, LLC

  dba Ascension St. Vincent's St. Clair

  • General Acute Care Hospital
  • Pell City, AL
  • NPI 1992809305
  Care Compare affiliation

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1255968301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 UNIVERSITY HOSPITAL DR RM 714",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172300",
            "telephone_number": "251-471-7207",
            "fax_number": "251-471-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 UNIVERSITY HOSPITAL DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172300",
            "telephone_number": "251-472-7207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-934-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAGBONGBE",
        "first_name": "OLUWAFUNMISO",
        "middle_name": "IBUNKUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "50792",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T9103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Ezell
• Oliver Laurence Ezell, P.A.-C
• Faces Therapeutic and Wellness
• Erin Fadalla, OTR/L
• Vincent Alan Fagan
• Jeffrey D Faggard, M.D
• Elizabeth Fair, PHD
• William Brenton Faircloth, M.D.
• Olivia Leighann Fairley, PHARMD
• Sherrinekia Lashay Fairley, NP

• Diagnostic Radiology Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.