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

Dr. Ebenezer Kolade, MD

Individual provider Addiction Medicine (Internal Medicine) Physician · NPI 1376618611

Dr. Ebenezer Kolade, MD is an Addiction Medicine in Bridgeport, Connecticut. Qualified in 1981, 45 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
45
Licensed in
CT
In the registry since
2006
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

4675 Main St
Bridgeport, CT 06606-1813
Phone: (203) 372-3333
Fax: (203) 374-7515
Show map & directions

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

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X · Licence 040029 (CT)

Record details

NPI number1376618611
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 22, 2006
Last updated in NPPESJuly 1, 2024
Certification dateJuly 1, 2024
Mailing address4675 Main St, Bridgeport, CT 06606-1813

Medicare enrollment

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

Medicare specialtyADDICTION MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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