NPIMap

Organization Active NPI

Aubrey Lieberman MD PC

  • Neurology Physician
  • Brockton, MA
National Provider Identifier
1003902958
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
37675 Issued in MA
Legal business name
AUBREY LIEBERMAN MD PC
Practice address
1342 Belmont St
Suite 105
Brockton, MA 02301-4436
Phone
(508) 580-3330
Fax
(508) 580-8633
NPI assigned
Oct 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Aubrey Lieberman, MDNPI 1750477618
Title
President
Phone
(508) 580-3330

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
Neurology Physician 2084N0400X 37675 MA Primary

Addresses

Primary practice location

1342 Belmont St
Suite 105
Brockton, MA 02301-4436

Mailing address

1342 Belmont St
Suite 105
Brockton, MA 02301-4436
Phone (508) 580-3330

Other identifiers 3

IdentifierTypeStateIssuer
M17612OtherMABLUE CROSS BLUE SHIELD
9701273MedicaidMA
687404OtherMATUFTS HEALTH PLAN

National Provider Directory

National Provider Directory

Locations

1342 Belmont St
Ste 105
Brockton, MA 02301
Phone (508) 580-3330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003902958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 BELMONT ST",
            "address_2": "SUITE 105",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014436",
            "telephone_number": "508-580-3330",
            "fax_number": "508-580-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 BELMONT ST",
            "address_2": "SUITE 105",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014436",
            "telephone_number": "508-580-3330",
            "fax_number": "508-580-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBREY LIEBERMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-580-3330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "37675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M17612",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9701273",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "687404",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.