ALEC LIEDERBACH DO
NPI 1205769288
Student in an Organized Health Care Education/Training Program in Orlando, FL

Active since June 08, 2026PECOS Enrolled
264 E ROLLINS STREET, 6TH FLOOR, ORLANDO, FL 32808(407) 303-6729 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alec Liederbach Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEC LIEDERBACH DO (NPI 1205769288) is an individual student in an organized health care education/training program in Orlando, Florida, licensed in Florida (11431) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205769288
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEC LIEDERBACHCredential: DO
Location Address264 E ROLLINS STREET, 6TH FLOOROrlando, FL 32808-5519
Mailing Address264 E Rollins Street, 6th FloorOrlando, FL 32808-5519 · (407) 303-6729
Sole ProprietorNo
Enumeration DateJune 8, 2026
NPPES CertifiedMay 27, 2026
NPI 1205769288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in FL · 11431
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

264 E ROLLINS STREET, Orlando, FL 32808

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alec Liederbach Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently 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 Alec Liederbach's NPI number?

The NPI number for Alec Liederbach is 1205769288. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Where is Alec Liederbach located?

Alec Liederbach practices at 264 E Rollins Street 6th Floor, Orlando, FL 32808. The listed phone number is (407) 303-6729.

What is Alec Liederbach's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alec Liederbach enrolled in Medicare?

Yes. Alec Liederbach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alec Liederbach was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.