Breiten Mark Liebell, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104558083 Issued in VA

Practice address

477 Viking Dr
Virginia Beach, VA 23452-7349

Phone

(757) 631-9799

Fax

(757) 631-9866

NPI assigned

May 23, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Liebell Chiropractic IncGroup PAC ID 7113144056, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Liebell Chiropractic Inc.

  • Chiropractor
  • Virginia Beach, VA
  • NPI 1902066806
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1962295881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 VIKING DR STE 350",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527531",
            "telephone_number": "757-631-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 VIKING DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527349",
            "telephone_number": "757-631-9799",
            "fax_number": "757-631-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBELL",
        "first_name": "BREITEN",
        "middle_name": "MARK",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104558083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Lano Licudan
• Lider Counseling, LLC
• Margaret Ray Lidstrom, LCSW
• Emily White Lieb, MD
• Liebell Chiropractic Inc.
• Donald Kenneth Liebell, D.C.
• Linda J Liebold, P.A.
• Errol E Liebowitz, PHD
• Jana Liedman, PTA
• Life Balance Therapy Services

• Chiropractor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.