Ilbert Bourang, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

112048 Issued in CA

Practice address

36000 Shoemaker Lane
Suite 1051
Fort Hood, TX 76544

Phone

(254) 287-3105

NPI assigned

Jul 29, 2025

Last updated

Jul 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1134002983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W HAMILTON AVE # 110394",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36000 SHOEMAKER LANE",
            "address_2": "SUITE 1051",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-287-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURANG",
        "first_name": "ILBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "112048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devona Bonner, LCSW
• Diane Dorothy Boor, MPAS, PA-C
• Jessica Lynne Boss, PHARM D
• Alberto Botello, LVN
• Bryan M Boucher, M.D.
• Jacob Bowen, OTRL
• Takiah Boyce, LCSW
• Chanell Boyd
• Nathan Blake Boyd, DO
• Sandra Garza Boyd, LPC

• Dentist in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.