Individual provider Active NPI

Murl Edwin Leibrecht, M.D.

  • Aerospace Medicine Physician
  • Camano Island, WA
National Provider Identifier
1861582140
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
MD00015522 Issued in WA
Practice address
578 Michael Way
Camano Island, WA 98282-8464
Phone
(360) 631-5355
NPI assigned
Oct 15, 2006
Last updated
Nov 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X MD00015522 WA Primary

Addresses

Primary practice location

578 Michael Way
Camano Island, WA 98282-8464

Mailing address

578 Michael Way
Camano Island, WA 98282-8464
Phone (360) 631-5355

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00015522WAMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leibrecht MD, Murl E 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1861582140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 MICHAEL WAY",
            "city": "CAMANO ISLAND",
            "state": "WA",
            "postal_code": "982828464",
            "telephone_number": "360-631-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 MICHAEL WAY",
            "city": "CAMANO ISLAND",
            "state": "WA",
            "postal_code": "982828464",
            "telephone_number": "360-631-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBRECHT",
        "first_name": "MURL",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "WA",
            "license": "MD00015522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camano Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.