Adebola E Rojugbokan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21082 Issued in SC

Practice address

149 St James Ave
Goose Creek, SC 29445-2923

Phone

(843) 753-2334

Fax

(843) 753-7986

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

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

State licenses

Practice roles

Locations

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.

• Southeastern Hospitalist Services PC

  • Hospitalist Physician
  • Myrtle Beach, SC
  • NPI 1003280108

  Family Medicine

  Medicare reassignment NPD
• Primecare Family Practice LLC

  • Family Medicine Physician
  • Goose Creek, SC
  • NPI 1073702957
  NPD Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1922015692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294450160",
            "telephone_number": "843-753-2334",
            "fax_number": "843-753-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 ST JAMES AVE",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452923",
            "telephone_number": "843-753-2334",
            "fax_number": "843-753-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJUGBOKAN",
        "first_name": "ADEBOLA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "21082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210827",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN FETTER HEALTH CARE NETWORK",
            "identifier": "H010516494",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• RJR Dentistry LLC
• Alexandra Roberts
• Ciera Robinson
• Tanova Cornise Robinson, MA
• Laura Rogers, LPES
• Anthony Michael Romero, M.D.
• Roper Saint Francis Physicians Network
• Roper Saint Francis Physicians Network
• Roper Saint Francis Physicians Network
• Roper St. Francis Specialty Physicians

• Family Medicine Physician in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.