MEDICARE: BARRY J LIBERONI, MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174724769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARRY J LIBERONI, MD PA

Provider Business Mailing Address
First Line	:	720 AVENUE F N STE 3
Second Line	:
City	:	BAY CITY
State	:	TX
Zip	:	77414-9574
Country	:	US
Telephone Number	:	979-245-9797
Fax Number	:	979-245-9789

Provider Business Practice Location Address
First Line	:	720 AVENUE F N
Second Line	:	STE. 3
City	:	BAY CITY
State	:	TX
Zip	:	77414-9573
Country	:	US
Telephone Number	:	979-245-9797
Fax Number	:	979-245-9789

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BARRY LIBERONI
Credential	:	M.D.
Telephone Number	:	979-245-9797

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	10/24/2025

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