Active NPI
Omagbemi Alex Buwa, MD
- Psychiatry Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2021026576
- Practice address
- 3401 Berrywood Dr
Columbia, MO 65201-8372 - Phone
- (573) 777-8330
- NPI assigned
- May 7, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
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.
-
- Community/Retail Pharmacy
- Springfield, MO
- NPI 1881659894
-
- Psychiatric Hospital
- Saint Louis, MO
- NPI 1033289897
-
- Psychiatric Hospital
- Fulton, MO
- NPI 1104878792
-
- Psychiatric Hospital
- Saint Joseph, MO
- NPI 1104879444
-
- General Practice Physician
- Saint Charles, MO
- NPI 1316991896
-
- Psychiatry Physician
- Saint Louis, MO
- NPI 1427002013
-
- Psychiatry Physician
- Farmington, MO
- NPI 1437106705
-
- Psychiatry Physician
- Kansas City, MO
- NPI 1497709083
-
- Psychiatric Hospital
- Saint Louis, MO
- NPI 1578518239
-
- Physical Medicine & Rehabilitation Physician
- Saint Louis, MO
- NPI 1710931167
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Burrell IncState of Missouri
Practice addresses (Care Compare)
3401 Berrywood Dr
Columbia, MO 65201-6515
Phone (573) 777-8300
600 E 5TH St
Fulton State Hospital
Fulton, MO 65251-1793
Phone (573) 592-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210825001615 | MO | Practitioner - Psychiatry | 3678828928 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burrell, Inc. | Current | Accepting new patients | |
| State of Missouri | Psychiatry | Current | Accepting new patients |
| Burrell, Inc. | Current | Accepting new patients | |
| State of Missouri | Psychiatry | Current | Accepting new patients |
| University of Missouri, Columbia | Past | Accepting new patients |
Locations
3401 Berrywood Dr
Columbia, MO 65201
Phone (573) 777-7530
600 E 5th St
Fulton, MO 65251
Phone (573) 592-2623
2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5214
1300 E Bradford Pkwy
#H
Springfield, MO 65804
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2021026576 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3401 Berrywood Dr
Columbia, MO 65201-8372
Mailing address
2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2026.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1922597871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2885 W BATTLEFIELD ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658073952",
"telephone_number": "417-761-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 BERRYWOOD DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018372",
"telephone_number": "573-777-8330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUWA",
"first_name": "OMAGBEMI",
"middle_name": "ALEX",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-07",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2021026576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.