Robert Liebenberg, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD020513E Issued in PA

Practice address

5501 Old York Rd
WCB BLDG 4TH FL
Philadelphia, PA 19141

Phone

(215) 456-7900

Fax

(215) 456-3428

NPI assigned

Apr 5, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bradley a Fink DO PC

  • Orthopaedic Surgery Physician
  • Levittown, PA
  • NPI 1750364303
  NPD (past)
• Orthopedic Associates PC

  • Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1316984131
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1346202108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EAST OLNEY AVENUE",
            "address_2": "SUITE 400",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19120",
            "telephone_number": "215-456-7000",
            "fax_number": "215-254-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "address_2": "WCB BLDG 4TH FL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19141",
            "telephone_number": "215-456-7900",
            "fax_number": "215-456-3428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBENBERG",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD020513E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007225610009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren E. Licwinko, CRNP
• Mary Ann Licwinko, CRNA
• Stephanie Lidd, M.D.
• Elizabeth Anne Liddell, POM
• Angelina Liddy, MD
• Cory Gail Lieber, PA-C
• Alexis Sloan Lieberman, M.D.
• David Lieberman, M.S., C.G.C.
• David Michael Lieberman, LCSW
• Harris M Lieberman, O.D.

• Orthopaedic Surgery Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.