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

Dr. Ivan Edwards, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1700955176

Dr. Ivan Edwards, DO is a Physical Medicine and Rehabilitation in San Antonio, Texas. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2004, 22 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Years since qualifying
22
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
TX
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6502 Bandera Rd Ste 102
San Antonio, TX 78238-1445
Phone: (210) 474-6788
Fax: (210) 571-4105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5410 Fredericksburg Rd Ste 310, San Antonio, TX 78229-3576 — (210) 558-9606

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence N6275 (TX)

Record details

NPI number1700955176
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedNovember 7, 2006
Last updated in NPPESOctober 31, 2023
Certification dateOctober 23, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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