Ebenezer Kolade, M.D.
Ebenezer Kolade, M.D. is an Addiction Medicine (Internal Medicine) Physician in Bridgeport, CT, registered under NPI 1376618611. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 4675 MAIN ST, Bridgeport, CT 06606. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 040029 | CT | Addiction Medicine (Internal Medicine)… primary |
This provider holds licence 040029 issued in CT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Internal Medicine
- PAC ID
- 0143245332
Medicare enrolment is recorded as approved under the provider type Practitioner - Internal Medicine. 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 Addiction Medicine covers
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. NUCC Health Care Provider Taxonomy, code 207RA0401X
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.
| NPI | 1376618611 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Nov 22, 2006 |
| Last updated | Jul 1, 2024 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | M.D. |
| Practice address |
4675 MAIN ST Bridgeport, CT 06606 (203) 372-3333 Fax (203) 374-7515 |
Number check
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 | 3 | 7 | 6 | 6 | 1 | 8 | 6 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 5 | 6 | 3 | 1 | 7 | 6 | 2 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
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.