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

Bukola Odeniyi, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184369837

Bukola Odeniyi, MD is an Emergency Medicine in Pittsburgh, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Lake Granbury Hospital-Based Professional Services, a 72-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022
Specialties on file
2
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

320 E North Ave
Pittsburgh, PA 15212-4756
Phone: (412) 359-4905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1310 Paluxy Rd, Granbury, TX 76048-5655 — (817) 573-2273

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MT226413 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184369837
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2022
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lake Granbury Hospital-Based Professional Services — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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