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BREITEN MARK LIEBELL DC
NPI 1962295881
Chiropractor in Virginia Beach, VA

Active since May 23, 2025Accepts Medicare Assignment
477 VIKING DR, VIRGINIA BEACH, VA 23452(757) 631-9799(757) 631-9866 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Breiten Mark Liebell Dc NPPES

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

BREITEN MARK LIEBELL DC (NPI 1962295881) is an individual chiropractor in Virginia Beach, Virginia, licensed in Virginia (0104558083) and active in the NPI registry since May 2025. He is a graduate of Life Chiropractic College (2025).

NPPES Registry Identity

NPI1962295881
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBREITEN MARK LIEBELLCredential: DC
Location Address477 VIKING DRVirginia Beach, VA 23452-7349
Mailing Address477 Viking Dr Ste 350Virginia Beach, VA 23452-7531 · (757) 631-9799
Phone(757) 631-9799
Fax(757) 631-9866
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2025
Enumeration DateMay 23, 2025
NPPES CertifiedMay 23, 2025
✔ NPI 1962295881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in VA · 0104558083
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
477 VIKING DR, Virginia Beach, VA 23452
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Breiten Mark Liebell Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668960600
PECOS Enrollment IDI20251022002112

Medicare Billing Reassignment

Medicare enrollment records show Breiten Liebell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Liebell Chiropractic Inc.
Same address
Chiropractor
477 VIKING DR, SUITE 203
Virginia Beach, VA 23452
  • Reassigned Medicare billing, Virginia enrollment
  • 2 clinicians in this Medicare group
NPI 1902066806 (757) 631-9799

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALBERT B. KONIKOFF DDS
Dentist (Periodontics)
477 VIKING DR
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 486-8181
DR. DONALD KENNETH LIEBELL D.C.
Chiropractor
477 VIKING DR, SUITE 203
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 631-9799
DR. CHESTER VAUGHN MAYO D.M.D.
Dentist (Endodontics)
477 VIKING DR, SUITE #215
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 486-5428
DR. BRYAN M KONIKOFF DDS
Dentist (Periodontics)
477 VIKING DR, SUITE 190
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 486-8181
DR. KELLY LEIGH BUSSEY D.D.S.
Dentist (Endodontics)
477 VIKING DR, SUTIE #215
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 486-5428
PREMIER OPHTHALMOLOGY, PLC
Ophthalmology
477 VIKING DR, SUITE 110
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 340-8383
LIEBELL CHIROPRACTIC INC.
Chiropractor
477 VIKING DR, SUITE 203
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 631-9799
DR. WILLIAM BUSSEY D.D.S.
Dentist (Endodontics)
477 VIKING DR, SUITE #215
VIRGINIA BEACH, VA 23452
Virginia Beach City (757) 486-5155

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 Breiten Liebell's NPI number?

The NPI number for Breiten Liebell is 1962295881. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Where is Breiten Liebell located?

Breiten Liebell practices at 477 Viking Dr, Virginia Beach, VA 23452. The listed phone number is (757) 631-9799.

What is Breiten Liebell's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Breiten Liebell enrolled in Medicare?

Yes. Breiten Liebell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Breiten Liebell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breiten Liebell reassigns Medicare benefits to Liebell Chiropractic Inc. (Virginia Beach, VA). The 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 Breiten Liebell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Breiten Liebell was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.