IAN SHEPHERD DORMAN
NPI 1184434409
Military Health Care Provider in Jbsa Ft Sam Houston, TX

Active since January 09, 2025PECOS Enrolled
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234(210) 916-8040 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ian Shepherd Dorman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IAN SHEPHERD DORMAN (NPI 1184434409) is an individual military health care provider provider in Jbsa Ft Sam Houston, Texas and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1184434409
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameIAN SHEPHERD DORMAN
Location Address3551 ROGER BROOKE DRJbsa Ft Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504
Sole ProprietorNo
Enumeration DateJanuary 9, 2025
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 15, 2025
NPI 1184434409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
3551 ROGER BROOKE DR, Jbsa Ft Sam Houston, TX 78234

Secondary Practice Locations 3

Location 11100 Wilford Hall LoopJbsa Lackland, TX 78236-5638 · Phone (210) 916-8040
Location 2306 Liberty View LnLynchburg, VA 24502-2291 · Phone (434) 592-6400
Location 33100 Schofield RdJbsa Ft Sam Houston, TX 78234-7577 · Phone (210) 916-8040

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ian Shepherd Dorman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Dorman's NPI number?

The NPI number for Ian Dorman is 1184434409. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Where is Ian Dorman located?

Ian Dorman practices at 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234. The listed phone number is (210) 916-8040.

What is Ian Dorman's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Ian Dorman enrolled in Medicare?

Yes. Ian Dorman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ian Dorman was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.