DR. BRENT BINKLEY LIEBERT M.D. NPI 1720078421

NPI Information

NPI: 1720078421
Provider Name: DR. BRENT BINKLEY LIEBERT, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
5731 GREENDALE RD
SUITE 100
JOHNSTON, IA
ZIP 50131
Phone: (515) 270-1000
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DR. Brent Binkley Liebert, M.D. is a family medicine in Johnston, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Brent Binkley Liebert, M.D. NPI is 1720078421. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5731 GREENDALE RD
SUITE 100
JOHNSTON, IA
ZIP 50131-593
Phone: (515) 270-1000
Fax: (515) 331-6581

The enumeration date for this NPI number is 10/24/2005 and was last updated on 8/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		25797	IOWA	No
2	207Q00000X	Family Medicine		25797	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	I21483	MEDICARE PIN	IOWA
2	1720078421	MEDICAID	IOWA
3	1720078421	OTHER	IOWA	BLUE SHIELD
4	IB1436018	MEDICARE PIN	IOWA
5	A03295	MEDICARE UPIN	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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