Individual provider

Gbemisola Johnson, MD

Family Medicine Physician Medicare enrolled

Gbemisola Johnson, MD is a Family Medicine Physician in Bolivar, MO, registered under NPI 1003556903.

Getting there

The practice address on file is 3817 S. SPRINGFIELD AVENUE, BOLIVAR, MO 6561 SUITE 140, Bolivar, MO 65613. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3817 S. SPRINGFIELD AVENUE, BOLIVAR, MO 6561 SUITE 140, Bolivar, MO 65613 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2025046442 MO Family Medicine Physician primary

This provider holds licence 2025046442 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
3678947132

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Family Medicine covers

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. NUCC Health Care Provider Taxonomy, code 207Q00000X
Allopathic & Osteopathic Physicians Family Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1003556903 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 30, 2022
Last updatedOct 24, 2025
StatusActive
Sole proprietorNo
CredentialMD
Practice address 3817 S. SPRINGFIELD AVENUE, BOLIVAR, MO 6561
SUITE 140
Bolivar, MO 65613
(417) 422-4769
Mailing address 10901 BRIGHTON BAY BLVD NE APT 10209
St Petersburg, FL 33716
This record was updated on Oct 24, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1003556903 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 5 5 6 9 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 0 3 1 5 3 9 0

Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003556903?
NPI 1003556903 is the National Provider Identifier assigned to Gbemisola Johnson, MD in Bolivar, MO. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family Medicine Physician cover?
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.
How do I contact Gbemisola Johnson, MD?
The phone number on file with NPPES is (417) 422-4769, last updated Oct 24, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Gbemisola Johnson, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1003556903 a valid number?
Yes. 1003556903 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.