Active NPI
Karen F Liebert, MD
- Gynecology Physician
- Bradenton, FL
National Provider Identifier
1891759619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME59651
- Practice address
- 1850 59TH St W
Blake Park Ste B
Bradenton, FL 34209 - Phone
- (941) 792-4993
- Fax
- (941) 795-2905
- NPI assigned
- Apr 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | ME59651 | FL | Primary |
Addresses
Primary practice location
1850 59TH St W
Blake Park Ste B
Bradenton, FL 34209
Mailing address
1850 59TH St W
Blake Park Ste B
Bradenton, FL 34209
Phone (941) 792-4993
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12821 | Other | FL | BCBS |
| 160033476 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100512001043 | FL | Practitioner - Obstetrics/Gynecology | 0345378352 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME59651 | FL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manatee Gynecology P a | Current | Accepting new patients | |
| Manatee Gynecology LLC | Gynecology | Current | Accepting new patients |
Locations
6417 3rd Ave W
Bradenton, FL 34209
Phone (941) 792-4993
1850 59th St W
Ste B
Bradenton, FL 34209
Phone (941) 792-0340
2310 60th Street Ct W
Bradenton, FL 34209
Phone (941) 792-4993
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBBCBD
Organizations & group practices 2
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
- Bradenton, FL
- NPI 1497710255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1891759619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 59TH ST W",
"address_2": "BLAKE PARK STE B",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34209",
"telephone_number": "941-792-4993",
"fax_number": "941-795-2905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 59TH ST W",
"address_2": "BLAKE PARK STE B",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34209",
"telephone_number": "941-792-4993",
"fax_number": "941-795-2905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBERT",
"first_name": "KAREN",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME59651",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "12821",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160033476",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.