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

Bolanle A Asiyanbola, MD

Individual provider Surgery Physician · NPI 1821014226

Bolanle A Asiyanbola, MD is a General Surgery in Fayetteville, North Carolina. Qualified in 1997, 29 years ago. Practices with Meharry Medical College, a 33-clinician group and accepts Medicare assignment. Licensed in Massachusetts, Maryland and Tennessee.

Years since qualifying
29
Licensed in
MA, MD, TN
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4140 Ferncreek Dr Ste 601
Fayetteville, NC 28314-2563
Phone: (910) 485-3880
Fax: (910) 485-5341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 59311 (TN)
Surgery Physician Taxonomy 208600000X · Licence D64664 (MD)
Surgery Physician Taxonomy 208600000X · Licence 256906 (MA)

Record details

NPI number1821014226
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESJuly 17, 2019

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Meharry Medical College — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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