Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Ibabao, MD

Individual provider Anesthesiology Physician · NPI 1114488418

Brian Ibabao, MD is an Anesthesiology in Bronx, New York. Graduated from State University of Ny Upstate Medical University in 2019, 7 years ago. Practices with Bergen Anesthesia Group, PC, a 63-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Trained at
State University of Ny Upstate Medical University
Licensed in
NJ
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-4321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 — (201) 847-9320

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 25MA11741700 (NJ)

Record details

NPI number1114488418
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 28, 2019
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2019 (7 years in practice)
Group practice Bergen Anesthesia Group, P.C. — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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