Bartolome N Ibarra, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

E2238 Issued in TX

Practice address

835 Wavecrest LN
Houston, TX 77062-4232

Phone

(281) 461-8414

Fax

(281) 461-4737

NPI assigned

Feb 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Health and Human Services Commission

  • Intellectual Disabilities Intermediate Care Facility
  • Carlsbad, TX
  • NPI 1346333945
  NPD (past)
• Timberland Medical Group

  • Family Medicine Physician
  • Cedar Park, TX
  • NPI 1528061157
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326180936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 WAVECREST LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770624232",
            "telephone_number": "281-461-8414",
            "fax_number": "281-461-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 WAVECREST LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770624232",
            "telephone_number": "281-461-8414",
            "fax_number": "281-461-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "BARTOLOME",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "E2238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cruz Elena Ibarquen
• Sandra Ibarra Narvaez
• Tobiel Ibarra Reyes
• Juan Jose Ibarra-Rovira, M.D.
• Rosa M. Ibarra-Valdes, SLP
• Carmen Alejandra Ibarra
• Chelsea Ibarra
• Claudia Juliana Ibarra
• Derek Ibarra, DDS
• Francis Roberto Ibarra, M.D.

• Primary Care Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.