Organization Active NPI

Neurobridge PLLC

  • Clinical Neurophysiology Physician
  • Fort Worth, TX
National Provider Identifier
1710855804
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
NEUROBRIDGE PLLC
Practice address
6913 Camp Bowie Blvd Ste 179
Fort Worth, TX 76116-7169
Phone
(682) 267-9550
NPI assigned
Oct 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Dr. Adeyemi Gbohunmi, MD, PHDNPI 1982165155
Title
Sole Member
Phone
(682) 267-9550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X Primary

Addresses

Primary practice location

6913 Camp Bowie Blvd Ste 179
Fort Worth, TX 76116-7169

Mailing address

6913 Camp Bowie Blvd Ste 179
Fort Worth, TX 76116-7169

National Provider Directory

National Provider Directory

Locations

6913 Camp Bowie Blvd
Ste 179
Fort Worth, TX 76116
Phone (682) 267-9550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1710855804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6913 CAMP BOWIE BLVD STE 179",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 CAMP BOWIE BLVD STE 179",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167169",
            "telephone_number": "682-267-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROBRIDGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "GBOHUNMI",
        "authorized_official_first_name": "ADEYEMI",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "682-267-9550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.