Organization Active NPI

Barry J Liberoni, MD PA

  • Internal Medicine Physician
  • Bay City, TX
National Provider Identifier
1174724769
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BARRY J LIBERONI, MD PA
Practice address
720 Avenue F N
Ste. 3
Bay City, TX 77414-9573
Phone
(979) 245-9797
Fax
(979) 245-9789
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Barry Liberoni, M.D.NPI 1861470361
Title
President
Phone
(979) 245-9797

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

720 Avenue F N
Ste. 3
Bay City, TX 77414-9573

Mailing address

720 Avenue F N Ste 3
Bay City, TX 77414-9574
Phone (979) 245-9797

Other identifiers 1

IdentifierTypeStateIssuer
2023855MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050106000447 TX Part B Supplier - Clinic/Group Practice 7214985225 Receives reassigned benefits from 1 practitioner
Practice locations: Bay City, TX

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGBIDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1174724769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 AVENUE F N STE 3",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774149574",
            "telephone_number": "979-245-9797",
            "fax_number": "979-245-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 AVENUE F N",
            "address_2": "STE. 3",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774149573",
            "telephone_number": "979-245-9797",
            "fax_number": "979-245-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY J LIBERONI, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "LIBERONI",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-245-9797",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023855",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.