Active NPI
Bamidele Ayoola Olatunbosun, M.D.
- Family Medicine Physician
- Temple Terrace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME148937
- Practice address
- 9740 N 56TH St Ste B
Temple Terrace, FL 33617-5500 - Phone
- (813) 200-7717
- NPI assigned
- Jun 23, 2010
- Last updated
- Apr 6, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME148937 | FL | Primary |
| Family Medicine Physician | 207Q00000X | 142113 | AK | |
| Family Medicine Physician | 207Q00000X | A143986 | CA |
Addresses
Primary practice location
9740 N 56TH St Ste B
Temple Terrace, FL 33617-5500
Mailing address
425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 635-2190
Other practice location 1
10320 N 56th St Ste 100
Temple Terrace, FL 33617-4057
Phone (813) 422-5144
Other practice location 2
4520 E Bay Dr
Clearwater, FL 33764-5714
Phone (727) 615-3032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wake Forest University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10320 N 56TH St
Suite 100
Temple Terrace, FL 33617-4057
Phone (813) 442-5144
9740 N 56TH St
Suite B
Temple Terrace, FL 33617-5500
Phone (813) 200-7717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142113 | AK | MD | Family Medicine Physician |
| A143986 | CA | MD | Family Medicine Physician |
| ME148937 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just Medical Care | Family Medicine | Current | Accepting new patients |
| Archwell Health Medical of Florida, LLC | Current | Accepting new patients | |
| Western Sierra Medical Clinic, Inc. | Past | Accepting new patients |
Locations
4520 E Bay Dr
Clearwater, FL 33764
Phone (727) 405-7188
10320 N 56th St
Ste 100
Temple Terrace, FL 33617
Phone (813) 422-5144
543 Tamiami Trl S
Venice, FL 34285
Phone (941) 837-8002
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Interoperability endpoints
- bamidele.olatunbosun.1@24477.direct.athenahealth.com
- https://api.platform.athenahealth.com/24477/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Temple Terrace, FL
- NPI 1124791900
-
- General Practice Physician
- Orlando, FL
- NPI 1568563187
-
- Internal Medicine Physician
- Venice, FL
- NPI 1497453450
-
- Urgent Care Clinic/Center
- Downieville, CA
- NPI 1851513469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1659682854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W COLONIAL DR STE 303",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046863",
"telephone_number": "321-635-2190",
"fax_number": "689-304-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9740 N 56TH ST STE B",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336175500",
"telephone_number": "813-200-7717"
}
],
"practiceLocations": [
{
"address_1": "10320 N 56th St Ste 100",
"address_purpose": "LOCATION",
"city": "Temple Terrace",
"state": "FL",
"postal_code": "336174057",
"country_code": "US",
"telephone_number": "813-422-5144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4520 E Bay Dr",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337645714",
"country_code": "US",
"telephone_number": "727-615-3032",
"fax_number": "727-615-2195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLATUNBOSUN",
"first_name": "BAMIDELE",
"middle_name": "AYOOLA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-23",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME148937",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "142113",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A143986",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.