NPIMap

Individual provider Active NPI

Glenn S Lieberman, MD

  • Orthopaedic Surgery Physician
  • Gilford, NH
National Provider Identifier
1659449254
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
10628 Issued in NH
Practice address
14 Maple St Ste 100
Gilford, NH 03249-5510
Phone
(603) 522-6163
Fax
(603) 524-3153
NPI assigned
Dec 1, 2006
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 10628 NH Primary

Addresses

Primary practice location

14 Maple St Ste 100
Gilford, NH 03249-5510

Mailing address

14 Maple St
Suite 100
Gilford, NH 03249-6580
Phone (603) 528-9100

Other practice location 1

346 Calef Highway
Barrington, NH 03825
Phone (603) 528-9100

Other identifiers 1

IdentifierTypeStateIssuer
30200430MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051230000077 NH Practitioner - Orthopedic Surgery 0143242420 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians

Practice addresses (Care Compare)

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2819

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Spinal fusion16
Laminectomy or laminotomy (partial removal of spine bones)22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10628NHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Laconia Orthopaedic Surgery CurrentSince Jun 1, 2025 Accepting new patients
Littleton Hospital Association CurrentSince Apr 28, 2024 Accepting new patients
Littleton Hospital Association Orthopaedic Surgery CurrentSince Apr 28, 2024 Accepting new patients
Concord Hospital-Franklin Current Accepting new patients
Concord Hospital-Laconia Past Accepting new patients
Lrghealthcare Orthopaedic Surgery Past Accepting new patients

Locations

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

15 Aiken Ave
Ofc
Franklin, NH 03235

14 Maple St
Ste 100
Gilford, NH 03249
Phone (603) 524-4220

14 Maple St
Ste 100O
Gilford, NH 03249
Phone (603) 279-7433

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

80 Highland St
#3
Laconia, NH 03246

80 Highland St
Fl 3
Laconia, NH 03246
Phone (603) 527-4500

580 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-0385

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

Interoperability endpoints

  • Direct secure messaging: glenn.lieberman@hca6.eclinicaldirectplus.com

Organizations & group practices 6

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1659449254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAPLE ST",
            "address_2": "SUITE 100",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496580",
            "telephone_number": "603-528-9100",
            "fax_number": "603-524-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAPLE ST STE 100",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032495510",
            "telephone_number": "603-522-6163",
            "fax_number": "603-524-3153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "346 Calef Highway",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "NH",
            "postal_code": "03825",
            "country_code": "US",
            "telephone_number": "603-528-9100",
            "fax_number": "603-524-5743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "GLENN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NH",
            "license": "10628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30200430",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilford, NH

Sources for this page

Verify at the official NPI Registry.