Felicien Bandolo Olougou

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

7135 Britens Way
Brandywine, MD 20613-6264

Phone

(614) 905-5445

NPI assigned

Jan 22, 2025

Last updated

Mar 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1669284063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 BRITENS WAY",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206136264",
            "telephone_number": "614-905-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 BRITENS WAY",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206136264",
            "telephone_number": "614-905-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDOLO OLOUGOU",
        "first_name": "FELICIEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ozichukwu Awusah
• C. Emmanuel Ayers, M.D.
• Rosanna Bailey, D.D.S.
• Cecilia L Baker, PHARM.D.
• Lisa Miranda Baker, RPH
• Hyun J Bang, M.D.
• Bashea Williams LLC (Hearts In Mind Counseling)
• Angela Bates
• Beyond Dynamic Potential LLC
• Lindsey Taylor Blankenship, PA-C

• Community Health Worker in Brandywine, MD
• Providers in Brandywine, MD by specialty
• Community Health Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; 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.