BAMISEGUN VICTOR OLOWOFOYEKU M.D.
NPI 1669506861
Psychiatry & Neurology - Addiction Medicine in Charlotte, NC

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment
508 EASTWAY DR, CHARLOTTE, NC 28205(704) 248-0246(704) 467-8351 Get Directions Write a Review

NPPES record last updated: April 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2020, Jul 2, 2019, Apr 27, 2019 (3 updates tracked since 2019).

About Bamisegun Victor Olowofoyeku M.d. NPPES

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

BAMISEGUN VICTOR OLOWOFOYEKU M.D. (NPI 1669506861) is an individual addiction medicine provider in Charlotte, North Carolina, licensed in North Carolina (25939) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Howard University College Of Medicine (1975).

NPPES Registry Identity

NPI1669506861
Entity TypeIndividualMale
Primary Taxonomy2084A0401X
Provider Legal NameBAMISEGUN VICTOR OLOWOFOYEKUCredential: M.D.
Location Address508 EASTWAY DRCharlotte, NC 28205
Mailing Address8039 Grove Hall AveMint Hill, NC 28227-3731 · (704) 482-1450
Fax(704) 467-8351
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1975
Enumeration DateMarch 16, 2007
Last NPPES UpdateApril 4, 20203 updates tracked since enumeration
NPPES CertifiedApril 4, 2020
NPI 1669506861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
License Licensed in NC · 25939
Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Also ListedInternal MedicineTaxonomy 207R00000X · License 25939 (NC)
Also ListedSurgeryTaxonomy 208600000X · License 25939 (NC)
508 EASTWAY DR, Charlotte, NC 28205

Secondary Practice Locations 2

Location 1508 Eastway DrCharlotte, NC 28205 · Phone (704) 248-0246 · Fax (704) 467-8351
Location 24200 Moorland DrCharlotte, NC 28226-1112 · Phone (704) 541-3172

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bamisegun Victor Olowofoyeku M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406986660
PECOS Enrollment IDI20100615000099
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 28205 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Registered Nurse (Addiction (Substance Use Disorder))
508 EASTWAY DR
CHARLOTTE, NC 28205
Community/Behavioral Health
508 EASTWAY DR
CHARLOTTE, NC 28205
Counselor (Addiction (Substance Use Disorder))
508 EASTWAY DR
CHARLOTTE, NC 28205
Counselor (Addiction (Substance Use Disorder))
508 EASTWAY DR
CHARLOTTE, NC 28205
Clinic/Center (Medical Specialty)
508 EASTWAY DR, STE. A
CHARLOTTE, NC 28205

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 Bamisegun Olowofoyeku's NPI number?

The NPI number for Bamisegun Olowofoyeku is 1669506861. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Bamisegun Olowofoyeku located?

Bamisegun Olowofoyeku practices at 508 Eastway Dr, Charlotte, NC 28205. The listed phone number is (704) 248-0246.

What is Bamisegun Olowofoyeku's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Bamisegun Olowofoyeku enrolled in Medicare?

Yes. Bamisegun Olowofoyeku is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bamisegun Olowofoyeku accept?

Health plans from Blue Cross and Blue Shield of NC list Bamisegun Olowofoyeku 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 Bamisegun Olowofoyeku was last updated on April 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.