Organization Active NPI

Liberty Bell Group Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Atlanta, GA
National Provider Identifier
1629390836
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
028942 Issued in GA
Legal business name
LIBERTY BELL GROUP INC
Practice address
2221 Peachtree Rd NE
Ste D650
Atlanta, GA 30309-1148
Phone
(404) 952-7021
NPI assigned
Feb 16, 2010
Last updated
Feb 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
William A Bornstein
Title
Ceo
Phone
(404) 952-7021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 028942 GA Primary

Addresses

Primary practice location

2221 Peachtree Rd NE
Ste D650
Atlanta, GA 30309-1148

Mailing address

2221 Peachtree Rd NE
Ste D650
Atlanta, GA 30309-1148

National Provider Directory

National Provider Directory

Locations

2221 Peachtree Rd NE
Ste D650
Atlanta, GA 30309
Phone (404) 952-7021

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1629390836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE",
            "address_2": "STE D650",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE",
            "address_2": "STE D650",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091148",
            "telephone_number": "404-952-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY BELL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "BORNSTEIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-952-7021"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "028942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.