Omolara Olabisi Bamgbelu, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MT204419 Issued in PA

Practice address

2830 Easton Ave
Bethlehem, PA 18017-4204

Phone

(484) 526-3555

Fax

(484) 526-3693

NPI assigned

Aug 8, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1588096903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174204",
            "telephone_number": "484-526-3555",
            "fax_number": "484-526-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 EASTON AVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180174204",
            "telephone_number": "484-526-3555",
            "fax_number": "484-526-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMGBELU",
        "first_name": "OMOLARA",
        "middle_name": "OLABISI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT204419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Baldwin, LCSW, CCM
• Elizabeth Ballard
• Rich E Ballek, MA, LAT, ATC, ITAT
• Amber Shumar Baloh, CRNA
• Patrick Bambrick, PT
• Ruslan Banai, DO
• Abin Bandyopadhyay, M.D.
• Bangor Podiatry LLC
• Olusegun Benjamin Bankole, M.D
• Alexandra Banks

• All providers in Bethlehem, PA
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.