NPI 1003556903

Gbemisola Oluwakemi Johnson, MD

Practitioner Family Medicine Physician Bolivar, MO

Practice location

Address: 3817 S. Springfield Avenue, Bolivar, Mo 6561 Suite 140, Bolivar, MO 65613
Phone: (417) 422-4769
Mailing address: 10901 Brighton Bay Blvd NE APT 10209, St Petersburg, FL 33716-3459

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 2025046442 (MO)

Other Family Medicine providers in Missouri →

Registry record

NPI: 1003556903
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2022
Record last updated: 24 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.