Active NPI
L L and B Electrocariograms
- Specialist
- Bradenton, FL
National Provider Identifier
1386765220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- L L AND B ELECTROCARIOGRAMS
- Practice address
- 5307 12TH Avenue Dr W
Bradenton, FL 34209-4229 - Phone
- (941) 792-0023
- NPI assigned
- Apr 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence J Lieberman, M.D.
- Title
- Partner
- Phone
- (941) 792-0023
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
5307 12TH Avenue Dr W
Bradenton, FL 34209-4229
Mailing address
PO Box 14718
Bradenton, FL 34280-4718
Phone (941) 792-0023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63110 | Other | FL | BLUECROSS BLUESHIELD |
National Provider Directory
National Provider DirectoryLocations
2010 59th St W
Ste 2400
Bradenton, FL 34209
Phone (941) 792-2300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Bradenton, FL
- NPI 1720144017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186099200000",
"number": "1386765220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14718",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342804718",
"telephone_number": "941-792-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5307 12TH AVENUE DR W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342094229",
"telephone_number": "941-792-0023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L L AND B ELECTROCARIOGRAMS",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2007-08-03",
"status": "A",
"authorized_official_last_name": "LIEBERMAN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "941-792-0023",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "63110",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.