NPI 1497002471 · live from the CMS NPI Registry
Fortune Egbulefu, MD
Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery in Jb Andrews, MD. National Provider Identifier 1497002471, active.
NPI record
| NPI | 1497002471 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery 207XS0114X |
| Practice location | 1060 W Perimeter Rd, Jb Andrews, MD 20762 |
| Practice phone | 888-999-1212 |
| Mailing address | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 |
| Enumerated | August 9, 2012 |
| Last updated | August 26, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 36953 (WV) |
| Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery primary | 207XS0114X | 20444 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.