NPIMap

Individual provider Active NPI

James R Ingram, D.O.

  • Orthopaedic Surgery Physician
  • Bullhead City, AZ
National Provider Identifier
1891756011
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M9369 Issued in TX
Practice address
2500 Canyon Rd Ste C1
Bullhead City, AZ 86442-8493
Phone
(928) 444-1491
Fax
(928) 444-1330
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 010823 AZ
Orthopaedic Surgery Physician 207X00000X M9369 TX Primary

Addresses

Primary practice location

2500 Canyon Rd Ste C1
Bullhead City, AZ 86442-8493

Mailing address

2500 Canyon Rd Ste C1
Bullhead City, AZ 86442-8493
Phone (928) 444-1491

Other practice location 1

2911 Medical Arts St Ste 10
Austin, TX 78705-3302
Phone (866) 473-0663

Other identifiers 1

IdentifierTypeStateIssuer
199871802MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081017000533 TX Practitioner - Orthopedic Surgery 7315005402 Reassigns benefits to 2 organizations
I20240306000689 AZ Practitioner - Orthopedic Surgery 7315005402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bullhead City Clinic CorpGroup PAC ID 1052317575, 23 clinicians
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Practice addresses (Care Compare)

2500 Canyon Rd
Bullhead City, AZ 86442-8624

2585 Miracle Mile
Bullhead City, AZ 86442-7522

2735 Silver Creek Rd
Bullhead City, AZ 86442-7924
Phone (928) 763-2273

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement14
Knee replacement17
Lower limb (leg) arthroscopy (minimally invasive joint repair)12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Bullhead City Clinic Corp CurrentSince Apr 1, 2024 Accepting new patients
Bullhead City Clinic Corp CurrentSince Apr 1, 2024 Accepting new patients
Post Acute Specialists of Texas PA CurrentSince Jan 20, 2024 Accepting new patients
BHS Physicians Network, Inc CurrentSince Dec 24, 2018 Accepting new patients
BHS Physicians Network, Inc CurrentSince Dec 24, 2018 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

2500 Canyon Rd
Bldg C
Bullhead City, AZ 86442
Phone (928) 444-1431

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

2500 Canyon Rd
Ste C1
Bullhead City, AZ 86442
Phone (928) 444-1491

2755 Silver Creek Rd
Ste 111
Bullhead City, AZ 86442
Phone (928) 444-1491

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

1700 Murchison Dr
El Paso, TX 79902
Phone (915) 534-1124

3100 N Lee Trevino Dr
Ste B
El Paso, TX 79936
Phone (915) 843-4776

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: james.ingram.1@1575.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1891756011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CANYON RD STE C1",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428493",
            "telephone_number": "928-444-1491",
            "fax_number": "928-444-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CANYON RD STE C1",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428493",
            "telephone_number": "928-444-1491",
            "fax_number": "928-444-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2911 Medical Arts St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787053302",
            "country_code": "US",
            "telephone_number": "866-473-0663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "010823",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M9369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199871802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.