Active NPI
Paul Conrad Liebrecht, MD
- Specialist
- Galax, VA
National Provider Identifier
1821083908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101039317
- Practice address
- 333 Hospital Dr
Galax, VA 24333-2246 - Phone
- (276) 236-8155
- Fax
- (276) 236-8899
- NPI assigned
- Sep 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101039317 | VA | Primary |
Addresses
Primary practice location
333 Hospital Dr
Galax, VA 24333-2246
Mailing address
333 Hospital Dr
Galax, VA 24333-2246
Phone (276) 236-8155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006496628 | Medicaid | VI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Rutgers New Jersey Medical School, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
333 Hospital Dr
Galax, VA 24333-2246
Phone (540) 236-8155
Hospital & facility affiliations
- Blue Ridge Home Health Care
- Twin County Regional Home Health
- Twin County Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 16 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101039317 | VA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul C. Liebrecht, M.D., P.C. | Specialist | Current | Accepting new patients |
Locations
333 Hospital Dr
Galax, VA 24333
Phone (276) 236-8155
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.
-
- Specialist
- Galax, VA
- NPI 1144315219
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Galax, VA
- NPI 1801042866
-
- General Acute Care Hospital
- Galax, VA
- NPI 1114292141
-
- Physical Therapy Clinic/Center
- Galax, VA
- NPI 1801161369
Hospital
-
- Home Health Agency
- Galax, VA
- NPI 1770022584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1821083908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 HOSPITAL DR",
"city": "GALAX",
"state": "VA",
"postal_code": "243332246",
"telephone_number": "276-236-8155",
"fax_number": "276-236-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 HOSPITAL DR",
"city": "GALAX",
"state": "VA",
"postal_code": "243332246",
"telephone_number": "276-236-8155",
"fax_number": "276-236-8899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBRECHT",
"first_name": "PAUL",
"middle_name": "CONRAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101039317",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006496628",
"state": "VI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.