Organization Active NPI

Ibex Medical Solutions PLLC

  • Interventional Pain Medicine Physician
  • Cedar Park, TX
National Provider Identifier
1972226298
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
IBEX MEDICAL SOLUTIONS PLLC
Practice address
930 S Bell Blvd Ste 206
Cedar Park, TX 78613-3974
Phone
(512) 503-1974
NPI assigned
Sep 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Wesley Foreman, MDNPI 1548316706
Title
MD/President
Phone
(512) 503-1974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

930 S Bell Blvd Ste 206
Cedar Park, TX 78613-3974

Mailing address

5900 Balcones Dr Ste 8235
Austin, TX 78731-4257
Phone (512) 503-1974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221109001520 TX Part B Supplier - Clinic/Group Practice 9335516095 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Park, TX

National Provider Directory

National Provider Directory

Locations

5900 Balcones Dr
Ste 8235
Austin, TX 78731
Phone (512) 503-1974

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1972226298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BALCONES DR STE 8235",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787314257",
            "telephone_number": "512-503-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S BELL BLVD STE 206",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133974",
            "telephone_number": "512-503-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBEX MEDICAL SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "512-503-1974",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.