Physician Compare National (NPI:1861470361)

HEALTHCARE PROVIDER: BARRY J LIBERONI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1861470361
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264420660
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040504001253
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LIBERONI
	Individual professional last name
Provider First Name	BARRY
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	720 AVE F N
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3
	Group Practice or individual's line 2 address
City	BAY CITY
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	774149574
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450694
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EL CAMPO MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450465
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MATAGORDA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	451332
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PALACIOS COMMUNITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	451311
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SWEENY COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	M