Fatima Ibrahim, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

M1780 Issued in TX

Practice address

174 S Bauer Point Cir
Spring, TX 77389-5326

Phone

(281) 586-8800

Fax

(827) 586-8822

NPI assigned

Oct 3, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1487641718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132528",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773932528",
            "telephone_number": "713-876-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 S BAUER POINT CIR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895326",
            "telephone_number": "281-586-8800",
            "fax_number": "827-586-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "FATIMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M1780",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "M1780",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHS PHYS OF TX GRP PTAN - HARRIS COUNTY",
            "identifier": "00106W",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHS PHYS OF TX MEDICAID GRP TPI - HARRIS COUNTY",
            "identifier": "153449704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR PTAN MONTGOMERY CO.",
            "identifier": "351187YNBT",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR PTAN",
            "identifier": "351179YNBT",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHS PHYS OF TX BCBSTX GRP PROV REC #",
            "identifier": "0035TD",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHS PHYS OF TX GRP PTAN - MONTGOMERY COUNTY",
            "identifier": "00659N",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHS PHYS OF TX MEDICAID GRP TPI - MONTGOMERY COUNTY",
            "identifier": "153449706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.