Babajide Bamigboye, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

017110 Issued in TN

Practice address

2031 Antioch Pike
Antioch, TN 37013

Phone

(615) 781-2080

Fax

(615) 781-0310

NPI assigned

Oct 24, 2006

Last updated

Dec 31, 2011By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325289600000",
    "number": "1770667255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 ANTIOCH PIKE",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "37013",
            "telephone_number": "615-781-2080",
            "fax_number": "615-781-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 ANTIOCH PIKE",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "37013",
            "telephone_number": "615-781-2080",
            "fax_number": "615-781-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMIGBOYE",
        "first_name": "BABAJIDE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "017110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3031032",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• B & H Care LLC
• Ashley Bacon
• Catherine Badger-Rodriguez, CLC
• Brandon S Bailey, D.C.
• Justin Erik Baker, PHARMACIST
• Anisha Barbee, FNP
• Maria Cristina Barnes, OD
• Chelsea Bates
• Courtney Shennell Batey, NP
• Yaa Sarpong Bawuah

• Internal Medicine Physician in Antioch, TN
• Providers in Antioch, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.