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

Individual provider Diagnostic Radiology Physician · NPI 1255968301

Oluwafunmiso Ibunkun Fagbongbe, MD is a Diagnostic Radiology in Mobile, Alabama. Qualified in 2020, 6 years ago. Practices with Cooper Green Mercy Health Services Authority an Affiliate of UAB, a 96-clinician group and works from 2 locations. Licensed in Alabama and Texas.

Years since qualifying
6
Licensed in
AL, TX
In the registry since
2020
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

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone: (251) 472-7207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 619 19th St S, Birmingham, AL 35233-1900 — (205) 934-4011

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence T9103 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 50792 (AL)

Record details

NPI number1255968301
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cooper Green Mercy Health Services Authority An Affiliate Of Uab — 96 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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