Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adeola Ogugua

Individual provider Adult Health Nurse Practitioner · NPI 1639401474

Adeola Ogugua is a Nurse Practitioner in Bronx, New York. Qualified in 2015, 11 years ago. Practices with Brave Medical PC, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

1250 Waters Pl
Bronx, NY 10461-2720
Phone: (184) 058-3607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 404108 (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 307396 (NY)

Record details

NPI number1639401474
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 4, 2010
Last updated in NPPESMay 11, 2022
Certification dateMay 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Brave Medical Pc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Bronx