Individual provider · Type 1 NPI

Gbemisola Oluwakemi Johnson, MD

Family Medicine Physician · Bolivar, MO

NPI number 1003556903 Active

Practice location

3817 S. Springfield Avenue, Bolivar, Mo 6561, Suite 140
Bolivar, MO 65613

Call (417) 422-4769 Map

Mailing address

10901 Brighton Bay Blvd NE Apt 10209
St. Petersburg, FL 33716-3459

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	2025046442 (MO)

Family Medicine Physician: Family 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 family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1003556903

Gbemisola Oluwakemi Johnson, MD's National Provider Identifier is 1003556903, issued on Mar 30, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Bolivar, MO. The record was last updated on Oct 24, 2025.