OLUWAFUNMISO IBUNKUN FAGBONGBE MD
NPI 1255968301
Radiology - Diagnostic Radiology in Mobile, AL

Q: What is Oluwafunmiso Fagbongbe's NPI number?

The NPI number for Oluwafunmiso Fagbongbe is 1255968301. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Oluwafunmiso Fagbongbe's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since March 26, 2020PECOS Enrolled

2451 UNIVERSITY HOSPITAL DR, MOBILE, AL 36617(251) 472-7207 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2024, Mar 26, 2020 (2 updates tracked since 2020).

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About Oluwafunmiso Ibunkun Fagbongbe Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLUWAFUNMISO IBUNKUN FAGBONGBE MD (NPI 1255968301) is an individual diagnostic radiology provider in Mobile, Alabama, licensed in Texas (T9103) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1255968301

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameOLUWAFUNMISO IBUNKUN FAGBONGBECredential: MD

Location Address2451 UNIVERSITY HOSPITAL DRMobile, AL 36617-2300

Mailing Address2451 University Hospital Dr Rm 714Mobile, AL 36617-2300 · (251) 471-7207 · Fax (251) 471-7468

Phone(251) 472-7207

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMarch 26, 2020

Last NPPES UpdateApril 29, 20252 updates tracked since enumeration

NPPES CertifiedApril 29, 2025

✔ NPI 1255968301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in TX · T9103✔ Licensed in AL · 50792

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2451 UNIVERSITY HOSPITAL DR, Mobile, AL 36617

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Secondary Practice Location 1

Location 1619 19th St SBirmingham, AL 35233-1900 · Phone (205) 934-4011

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oluwafunmiso Ibunkun Fagbongbe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648698407

PECOS Enrollment IDI20221028000939, I20250502001654

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$66.08 typical visit price

range $16.56 – $131.65

Typical copayment $16.52 (range $4.14 – $32.91)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MACKENZIE KREBSBACH ROBERTS CRNP

Nurse Practitioner (Acute Care)

2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617

Mobile County (251) 471-7565

FREDERICK JOSEPH ROSSI III

Hospitalist

2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617

Mobile County (251) 471-7891

WESLEY KYLE DEES CRNP

Nurse Practitioner (Family)

2451 UNIVERSITY HOSPITAL DR, MSTN 101
MOBILE, AL 36617

Mobile County (251) 445-8282

DR. LEIGH FOUNTAIN DO

Emergency Medicine

2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617

Mobile County (251) 415-1496

ELEANOR GRACE HANCERI

Nurse Practitioner (Acute Care)

2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617

Mobile County (251) 471-7000

KRISTY GENTRY

Registered Nurse

2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617

Mobile County (251) 751-0584

JOHN GARRETT JONES DO

Student in an Organized Health Care Education/Training Program

2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617

Mobile County (251) 471-7000

LINDA TRAN PHARMD

Pharmacist

2451 UNIVERSITY HOSPITAL DR
MOBILE, AL 36617

Mobile County (251) 471-7068

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oluwafunmiso Fagbongbe's NPI number?

The NPI number for Oluwafunmiso Fagbongbe is 1255968301. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Oluwafunmiso Fagbongbe located?

Oluwafunmiso Fagbongbe practices at 2451 University Hospital Dr, Mobile, AL 36617. The listed phone number is (251) 472-7207.

What is Oluwafunmiso Fagbongbe's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Oluwafunmiso Fagbongbe enrolled in Medicare?

Yes. Oluwafunmiso Fagbongbe is registered in the Medicare PECOS enrollment system.

What insurance does Oluwafunmiso Fagbongbe accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Oluwafunmiso Fagbongbe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oluwafunmiso Fagbongbe was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.