Individual provider Active NPI

Oyewale Bello, D.O.

  • Emergency Medicine Physician
  • Corpus Christi, TX
National Provider Identifier
1467807362
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S0429 Issued in TX
Practice address
2606 Hospital Blvd
5 West
Corpus Christi, TX 78405-1833
Phone
(361) 902-6762
NPI assigned
Apr 28, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Emergency Medicine Physician 207P00000X S0429 TX Primary

Addresses

Primary practice location

2606 Hospital Blvd
5 West
Corpus Christi, TX 78405-1833

Mailing address

6801 Emmett F Lowry Expy
Texas City, TX 77591-2500
Phone (409) 938-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190506001473 TX Practitioner - Emergency Medicine 3274875679 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Apr 10, 2019 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Apr 10, 2019 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

2860 S Gordon St
Alvin, TX 77511
Phone (218) 968-7500

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

3349 S Highway 181
Kenedy, TX 78119
Phone (830) 583-3401

2906 Broadway St
Pearland, TX 77581
Phone (713) 431-0575

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

3302 Palmer Hwy
Texas City, TX 77590
Phone (409) 641-2700

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1467807362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 EMMETT F LOWRY EXPY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912500",
            "telephone_number": "409-938-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 HOSPITAL BLVD",
            "address_2": "5 WEST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784051833",
            "telephone_number": "361-902-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLO",
        "first_name": "OYEWALE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-28",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S0429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.