Individual provider Active NPI

Adeyemi T Gbohunmi, M.D., PH.D.

  • General Practice Physician
  • Fort Worth, TX
National Provider Identifier
1982165155
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
T9873 Issued in TX
Practice address
6913 Camp Bowie Blvd
Fort Worth, TX 76116-7163
Phone
(708) 505-9364
NPI assigned
Mar 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X T9873 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

6913 Camp Bowie Blvd
Fort Worth, TX 76116-7163

Mailing address

1301 E Debbie LN # 102-8
Mansfield, TX 76063-3305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
T9873TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurological Center of Excellence Current Accepting new patients
Neurobridge PLLC CurrentSince Nov 8, 2025 Accepting new patients

Locations

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1982165155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E DEBBIE LN # 102-8",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6913 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167163",
            "telephone_number": "708-505-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBOHUNMI",
        "first_name": "ADEYEMI",
        "middle_name": "T",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "T9873",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 15, 2025; 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.