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DR. AZAN IBRAHIM MD
NPI 1952103129
Student in an Organized Health Care Education/Training Program in Temple, TX

Active since March 26, 2025PECOS Enrolled
2401 S 31ST ST # MS -713, TEMPLE, TX 76508(254) 724-2366(254) 724-8587 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Azan Ibrahim Md NPPES

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

DR. AZAN IBRAHIM MD (NPI 1952103129) is an individual student in an organized health care education/training program in Temple, Texas and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952103129
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. AZAN IBRAHIMCredential: MD
Location Address2401 S 31ST ST # MS -713Temple, TX 76508-0001
Mailing Address2401 S 31st St # Ms -713Temple, TX 76508-0001 · (254) 724-2366 · Fax (254) 724-8587
Phone(254) 724-2366
Fax(254) 724-8587
Sole ProprietorNo
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1952103129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2401 S 31ST ST # MS -713, Temple, TX 76508
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Azan Ibrahim Md 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 3

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

GASPAR PINA MD
Student in an Organized Health Care Education/Training Program
2401 S 31ST ST # MS -713
TEMPLE, TX 76508
Bell County (254) 724-2366
CHARLES CALLIS HUCKS BRADSHAW MD
Student in an Organized Health Care Education/Training Program
2401 S 31ST ST # MS -713
TEMPLE, TX 76508
Bell County (254) 724-2366
MABEL THAI MD
Student in an Organized Health Care Education/Training Program
2401 S 31ST ST # MS -713
TEMPLE, TX 76508
Bell County (254) 724-2366

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 Azan Ibrahim's NPI number?

The NPI number for Azan Ibrahim is 1952103129. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Azan Ibrahim located?

Azan Ibrahim practices at 2401 S 31st St # Ms -713, Temple, TX 76508. The listed phone number is (254) 724-2366.

What is Azan Ibrahim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Azan Ibrahim enrolled in Medicare?

Yes. Azan Ibrahim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Azan Ibrahim was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.