NPI age
19 years
Enumerated 2007-04-18
● Active
Type 1 · Individual
Olugbeminiyi I Olubanjo, MD
Olubanjo is 1 of 67 family medicine providers in Mansfield and 1 of 15966 in Texas.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
TX, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15966 active family medicine providers in Texas.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Practice location
4615 Valleyview Dr
Mansfield, TX 760636748
Mailing address
4615 Valleyview Dr
Mansfield, TX 760636748
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
2901 E Broad St
Mansfield, TX 760639147
Location 3
855 Montgomery
Fort Worth, TX 761072553
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
-
General PracticeA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8BQ006 | BCBS |
| 01 (IN) | 11012909A | RESIDENCY PERMIT |
| 01 (TX) | P00703560 | RAILROAD MEDICARE |
| 05 (TX) | 195929801 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new family medicine providers have been added in Mansfield in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.