Individual provider Active NPI

Bernard E Libel, B. A., BC-HIS

  • Specialist
  • Saint Joseph, MO
National Provider Identifier
1700041522
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2002030817 Issued in MO
Practice address
1105 S Belt Hwy
Saint Joseph, MO 64507-2224
Phone
(816) 676-2900
Fax
(816) 676-2901
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2002030817 MO Primary

Addresses

Primary practice location

1105 S Belt Hwy
Saint Joseph, MO 64507-2224

Mailing address

1105 S Belt Hwy
Saint Joseph, MO 64507-2224
Phone (816) 676-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
2002030817MOMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Systems Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1700041522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 S BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072224",
            "telephone_number": "816-676-2900",
            "fax_number": "816-676-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072224",
            "telephone_number": "816-676-2900",
            "fax_number": "816-676-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBEL",
        "first_name": "BERNARD",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "B. A., BC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2002030817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.