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

Boubacar Bah

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1497467401

Boubacar Bah is a Nurse Practitioner in Brookfield, Wisconsin. Qualified in 2021, 5 years ago. Licensed in Illinois and Wisconsin.

Years since qualifying
5
Licensed in
IL, WI
In the registry since
2022
Specialties on file
2

Practice location Address checks out

18740 W Bluemound Rd
Brookfield, WI 53045-2936
Phone: (773) 470-3858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 17303-33 (WI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209.026536 (IL)

Record details

NPI number1497467401
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 21, 2022
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025
Mailing address5454 Fargo Ave, Skokie, IL 60077-3210

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Brookfield