Active NPI
Bukola O Adegbola, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5018600
- Practice address
- 309 Crutchfield St
Durham, NC 27704-2754 - Phone
- (919) 560-7305
- Fax
- (919) 560-7480
- NPI assigned
- Jul 10, 2023
- Last updated
- Apr 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5018600 | NC | Primary |
Addresses
Primary practice location
309 Crutchfield St
Durham, NC 27704-2754
Mailing address
11361 N 99TH Ave Ste 402
Peoria, AZ 85345-5459
Phone (602) 650-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2245 Stantonsburg Rd
Suite Oandp
Greenville, NC 27834-2868
Phone (252) 648-3308
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamance Regional Medical Center, Inc. | Current | Accepting new patients | |
| The Neil Group, Inc | Current | Accepting new patients | |
| Recovery Innovations, Inc | Current | Accepting new patients | |
| The Neil Group, Inc | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| Recovery Innovations, Inc | Current | Accepting new patients |
Locations
11361 N 99th Ave
Ste 402
Peoria, AZ 85345
Phone (602) 636-4379
2701 N 16th St
Ste 316
Phoenix, AZ 85006
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
309 Crutchfield St
Durham, NC 27704
Phone (919) 560-7305
1724 Roxie Ave
Fayetteville, NC 28304
Phone (910) 484-1212
2245 Stantonsburg Rd
Ste Op
Greenville, NC 27834
Phone (252) 648-3308
1399 Ashleybrook Ln
Ste 100
Winston Salem, NC 27103
Phone (336) 446-9080
Organizations & group practices 6
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.
-
dba Ri International
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1700257664
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
dba ARMC Health Care Employee Pharmacy
- Pharmacy
- Burlington, NC
- NPI 1851681993
-
dba Ri International
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1902776107
-
- Psychiatry Physician
- Winston Salem, NC
- NPI 1518142280
-
- Mental Health Counselor
- Winston Salem, NC
- NPI 1720115512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1346928454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11361 N 99TH AVE STE 402",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853455459",
"telephone_number": "602-650-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 CRUTCHFIELD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042754",
"telephone_number": "919-560-7305",
"fax_number": "919-560-7480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEGBOLA",
"first_name": "BUKOLA",
"middle_name": "O",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5018600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.