Hugh Peter Liebert, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

ME0059650 Issued in FL

Practice address

1400 59TH St W
Bradenton, FL 34209-4607

Phone

(941) 795-2468

Fax

(941) 794-4093

NPI assigned

Aug 19, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ekg Panel of Blake

  • Cardiovascular Disease Physician
  • Bradenton, FL
  • NPI 1356733695
  Medicare reassignment NPD

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1063404697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094607",
            "telephone_number": "941-795-2468",
            "fax_number": "941-794-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094607",
            "telephone_number": "941-795-2468",
            "fax_number": "941-794-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERT",
        "first_name": "HUGH",
        "middle_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME0059650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058089900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Li, BA
• Amm Yi Liang, AUD
• Elena Vitalievna Lidgard, APRN
• Taylor Alecia Lidge
• Lisa Casale Lieb, OTR/L
• Karen F Liebert, MD
• Maryjane Lucille Liebling, DO
• Life Force Academy, Inc.
• Life Pharmacy Inc
• Lifestream Family Medicine P.a.

• Interventional Cardiology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.