BLAKE LIEBERMAN
NPI 1871297622
Podiatrist - Foot & Ankle Surgery in Plantation, FL
About Blake Lieberman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE LIEBERMAN (NPI 1871297622) is an individual foot & ankle surgery provider in Plantation, Florida, licensed in Ohio (36.004228) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chesterland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blake Lieberman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLANTATION, FL 33324
PLANTATION, FL 33324
PLANTATION, FL 33324
PLANTATION, FL 33324
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 Blake Lieberman's NPI number?
The NPI number for Blake Lieberman is 1871297622. It was assigned to this individual provider in the NPPES registry on March 27, 2023.
Where is Blake Lieberman located?
Blake Lieberman practices at 8201 W Broward Blvd, Plantation, FL 33324. The listed phone number is (954) 473-6600.
What is Blake Lieberman's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Blake Lieberman enrolled in Medicare?
Yes. Blake Lieberman is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Blake Lieberman was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.
# Blake Lieberman · NPI 1871297622
Foot & Ankle Surgery provider in Plantation, Florida. Individual provider, active in the CMS NPPES registry since March 27, 2023.
## Identity
- **NPI:** 1871297622 (Entity type: Individual)
- **Enumerated:** March 27, 2023
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 36.004228 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8201 W BROWARD BLVD, Plantation, FL 33324-2701
- **Phone:** (954) 473-6600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1871297622) · Data from the CMS NPPES public registry.