Mobolanle O Gbadamosi, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

200901445 Issued in NC

Practice address

1600 E C St
Butner, NC 27509-2530

Phone

(919) 575-1890

Fax

(919) 575-1637

NPI assigned

Sep 22, 2009

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10459/brand/1/csg/1/fhir/r4

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.

• East Carolina Medical Associates P.C

  • Geriatric Medicine (Internal Medicine) Physician
  • Jacksonville, NC
  • NPI 1245255488
  NPD (past)
• Murdoch Developmental Center

  • Intellectual Disabilities Intermediate Care Facility
  • Butner, NC
  • NPI 1699811125
  NPD (past)

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1699009704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E C ST",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275092530",
            "telephone_number": "919-575-1890",
            "fax_number": "919-575-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E C ST",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275092530",
            "telephone_number": "919-575-1890",
            "fax_number": "919-575-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBADAMOSI",
        "first_name": "MOBOLANLE",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "200901445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "157VR",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3131766",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913338",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Fox, LCSW
• Lesley Joanne Fraser-Ball, LBA, LCSWA
• Josef Fultz, LCSW
• James Douglas Garris, PHARMD
• Luiz Renato Gazzola, M.D.
• John Gentry, M.D.
• Traci Michelle Gescak, P-LCSW
• Beverly Gibbs, PLCSW
• Patricia Gibson
• Hannah Fernandez Givens, LCSW-A

• Geriatric Medicine (Internal Medicine) Physician in Butner, NC
• Providers in Butner, NC by specialty
• Geriatric Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.