Provider Demographics
NPI:1063452845
Name:BADEJO, ADELEKE E (MD, FACS)
Entity type:Individual
Prefix:DR
First Name:ADELEKE
Middle Name:E
Last Name:BADEJO
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Gender:
Credentials:MD, FACS
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Mailing Address - Street 1:3219 CENTRAL AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-2958
Mailing Address - Country:US
Mailing Address - Phone:308-865-2370
Mailing Address - Fax:308-865-2843
Practice Address - Street 1:3219 CENTRAL AVE STE 200
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-2958
Practice Address - Country:US
Practice Address - Phone:308-865-2370
Practice Address - Fax:308-865-2843
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE19006207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE140007700OtherRAILROAD MEDICARE
KS100143550BMedicaid
KS102023OtherBLUE CROSS & BLUE SHIELD
KS100143550CMedicaid
NE35675OtherBLUE CROSS & BLUE SHIELD
NE47084506100Medicaid
NEF53479Medicare UPIN
NE35675OtherBLUE CROSS & BLUE SHIELD
NE47084506100Medicaid