EMMANUEL B ADEBOGUN DO
NPI 1700670049
Student in an Organized Health Care Education/Training Program in Jbsa Lackland, TX

Active since April 09, 2025
1100 WILFORD HALL LOOP, JBSA LACKLAND, TX 78236(210) 997-2060 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emmanuel B Adebogun Do NPPES

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

EMMANUEL B ADEBOGUN DO (NPI 1700670049) is an individual student in an organized health care education/training program in Jbsa Lackland, Texas, licensed in Texas (BP10091733) and active in the NPI registry since April 2025. He maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1700670049
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEMMANUEL B ADEBOGUNCredential: DO
Location Address1100 WILFORD HALL LOOPJbsa Lackland, TX 78236-5638
Mailing Address1100 Wilford Hall LoopJbsa Lackland, TX 78236-5638 · (210) 997-2060
Sole ProprietorYes
Enumeration DateApril 9, 2025
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
NPI 1700670049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in TX · BP10091733
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1100 WILFORD HALL LOOP, Jbsa Lackland, TX 78236

Secondary Practice Location 1

Location 15788 Eckhert RdSan Antonio, TX 78240-3900 · Phone (210) 567-1601

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Dentist (Periodontics)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Dermatology
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Ophthalmology (Cornea and External Diseases Specialist)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Pediatrics
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Emergency Medicine
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Psychologist (Clinical)
1100 WILFORD HALL LOOP
SAN ANTONIO, TX 78236
Psychiatry & Neurology (Psychiatry)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Nurse Practitioner (Family)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236

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 Emmanuel Adebogun's NPI number?

The NPI number for Emmanuel Adebogun is 1700670049. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Emmanuel Adebogun located?

Emmanuel Adebogun practices at 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236. The listed phone number is (210) 997-2060.

What is Emmanuel Adebogun's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Emmanuel Adebogun was last updated on April 23, 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.