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

Dr. Olabode Olumofin, MD

Individual provider Surgery Physician · NPI 1720025513

Dr. Olabode Olumofin, MD is an Internal Medicine in Pine Bluff, Arkansas. Qualified in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
34
Licensed in
AR
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

1801 W 40th Ave Ste 1C
Pine Bluff, AR 71603-6940
Phone: (870) 535-4141
Fax: (870) 535-9180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence E-3124 (AR)
Surgery Physician Taxonomy 208600000X · Licence E3124 (AR)
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1720025513
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 1, 2006
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address1801 W 40th Ave Ste 1c, Pine Bluff, AR 71603-6956

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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