Individual provider Active NPI

Karen F Liebert, MD

  • Gynecology Physician
  • Bradenton, FL
National Provider Identifier
1891759619
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME59651 Issued in FL
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

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12821OtherFLBCBS
160033476OtherFLRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
ME59651FLMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manatee Gynecology P a Current Accepting new patients
Manatee Gynecology LLC Gynecology CurrentSince Jan 22, 2018 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.