Active NPI
Ibrahim Bourakba
- Driver
- Baton Rouge, LA
National Provider Identifier
1013419753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- A827745
- Practice address
- 1713 Wooddale Blvd Ste 30
Baton Rouge, LA 70806-1570 - Phone
- (225) 421-1114
- Fax
- (833) 790-2013
- NPI assigned
- Mar 7, 2018
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | A827745 | LA | Primary |
Addresses
Primary practice location
1713 Wooddale Blvd Ste 30
Baton Rouge, LA 70806-1570
Mailing address
1713 Wooddale Blvd Ste 30
Baton Rouge, LA 70806-1570
Phone (225) 421-1114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A827745 | LA | MD | Driver |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Non-emergency Medical Transport (VAN)
- Baton Rouge, LA
- NPI 1366944043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1013419753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1713 WOODDALE BLVD STE 30",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708061570",
"telephone_number": "225-421-1114",
"fax_number": "833-790-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1713 WOODDALE BLVD STE 30",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708061570",
"telephone_number": "225-421-1114",
"fax_number": "833-790-2013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURAKBA",
"first_name": "IBRAHIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-07",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "LA",
"license": "A827745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.