Bamidele Olawale Johnson
Psychiatry & Neurology, Psychiatry in Brooklyn, NY. Individual provider (NPI-1).
NPI number1669969382
StatusActive
Last updated in NPPESMar 23, 2026
Details
- NPI
- 1669969382
- Entity type
- Individual (NPI-1)
- Name
- Bamidele Olawale Johnson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 18, 2018
- Certification date
- Mar 23, 2026
- Last updated
- Mar 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | D0104395 | MD | Yes |
| 225100000X | Physical Therapist | – | – |
Other names
- Bamidele Olawale Johnson (Professional Name)
Practice location
1 Brookdale PlzBrooklyn, NY 11212-3139
Phone 718-613-4334
Mailing address
15005 Health Center DrBowie, MD 20716-1017
Other practice locations
15005 Health Center Dr
Bowie, MD 20716-1017
Bowie, MD 20716-1017
Phone 301-805-6070
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