Badreldin A Ibrahim, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

DR.0054829 Issued in CO

Practice address

410 Ruidosa Downs
Helotes, TX 78023-4608

Phone

(210) 372-0450

NPI assigned

Nov 4, 2005

Last updated

Dec 28, 2023By 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 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, OK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Neurology

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mpower Clinical TXGroup PAC ID 1850716705, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
• Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
• Baylor Scott & White Texas Spine & Joint Hospital Hospital, Tyler, TX, CCN 450864
• Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
• O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mpower Clinical TX

  • Clinical Neurophysiology Physician
  • San Antonio, TX
  • NPI 1134737216

  Neurology

  Medicare reassignment Care Compare group NPD
• Oversite Neuro

  • Clinical Neurophysiology Physician
  • Lindale, TX
  • NPI 1629747753
  Medicare reassignment NPD
• Neurologic Services of Oklahoma LLC

  • Electrodiagnostic Medicine Physician
  • Tulsa, OK
  • NPI 1790722239
  Medicare reassignment
• Rocky Mountain Neurodiagnostics, LLC

  dba Rocky Mountain Neurodiagnostics

  • Clinical Neurophysiology Physician
  • Cheyenne, WY
  • NPI 1659640381
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baylor Regional Medical Center at Plano

  dba Baylor Scott & White Medical Center - Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1649273434
  Care Compare affiliation
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253
  Care Compare affiliation
• Metdalspi, LLC

  dba Methodist Hospital for Surgery

  • General Acute Care Hospital
  • Addison, TX
  • NPI 1023338142
  Care Compare affiliation
• Texas Spine and Joint Hospital, LLC

  dba Baylor Scott & White TX Spine & Joint Hos Imaging Ctr

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1942292255
  Care Compare affiliation
• Ou Medicine Inc.

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1649794157
  Care Compare affiliation

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1295726453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 RUIDOSA DOWNS",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234608",
            "telephone_number": "210-372-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 RUIDOSA DOWNS",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234608",
            "telephone_number": "210-372-0450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7643 Gate Pkwy # 104-983",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322563092",
            "country_code": "US",
            "telephone_number": "866-374-6622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1511 Onyx Cir",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805047805",
            "country_code": "US",
            "telephone_number": "303-776-5298",
            "fax_number": "303-682-2785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "BADRELDIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M0438",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "DR.0054829",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "M0438",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADDITIONAL MEDICARE PIN",
            "identifier": "308865YN9D",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172522801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hill Country Counseling Associates, PLLC
• Nora Mercedes Himphayvanh
• Laquandra Banks Hopper, LCMHC
• Anna Hunter
• Angelina Jolie Huron
• J.M. Medina, D.M.D., P.a. (Medina Orthodontics)
• Katie Marie Jackel
• Ruth Elaine Jackson, M.D.
• Zane McCoy Jackson
• Jas Dental PLLC

• Neurology Physician in Helotes, TX
• Providers in Helotes, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.