Active NPI
Brenda Oduola
- Audiologist
- Bowie, MD
National Provider Identifier
1487271862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 2201001784
- Practice address
- 6001 Hillmeade Rd
Bowie, MD 20720-4652 - Phone
- (301) 806-4193
- NPI assigned
- Jul 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2201001784 | MD | Primary |
Addresses
Primary practice location
6001 Hillmeade Rd
Bowie, MD 20720-4652
Mailing address
6001 Hillmeade Rd
Bowie, MD 20720-4652
Phone (301) 806-4193
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2201001784 | MD | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1487271862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 HILLMEADE RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204652",
"telephone_number": "301-806-4193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 HILLMEADE RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204652",
"telephone_number": "301-806-4193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODUOLA",
"first_name": "BRENDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-01",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "2201001784",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.