LIBERTY MEDICAL SURGICAL CLINIC PA
NPI 1063419729
Clinical Medical Laboratory in Liberty, TX
About Liberty Medical Surgical Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIBERTY MEDICAL SURGICAL CLINIC PA (NPI 1063419729) is a healthcare organization registered as a clinical medical laboratory in Liberty, Texas and active in the NPI registry since July 2005. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Arthur Reese Brown, Owner/partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Liberty Medical Surgical Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Liberty Medical Surgical Clinic PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 45D0497236
Liberty Medical Surgical Clinic · Liberty, TXFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Liberty Medical Surgical Clinic PA's NPI number?
The NPI number for Liberty Medical Surgical Clinic PA is 1063419729. It was assigned to this organization in the NPPES registry on July 7, 2005.
Where is Liberty Medical Surgical Clinic PA located?
Liberty Medical Surgical Clinic PA is located at 720 Travis St, Liberty, TX 77575. The listed phone number is (936) 336-6439.
What is Liberty Medical Surgical Clinic PA's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
Is Liberty Medical Surgical Clinic PA enrolled in Medicare?
Yes. Liberty Medical Surgical Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Liberty Medical Surgical Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Liberty Medical Surgical Clinic PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Liberty Medical Surgical Clinic PA hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 45D0497236) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Liberty Medical Surgical Clinic PA was last updated on May 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.