What is Bryce Liedtke's NPI number?

Bryce Liedtke's National Provider Identifier (NPI) is 1063934164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Bryce Liedtke's specialty?

Bryce Liedtke is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Bryce Liedtke located?

Bryce Liedtke's practice location on file with NPPES is 3200 Adeline St, Berkeley, CA 94703-2407.

What is Bryce Liedtke's phone number?

The practice phone number listed in the NPPES registry for Bryce Liedtke is (510) 506-0203.

Is Bryce Liedtke's NPI active?

Yes — Bryce Liedtke's NPI (1063934164) is active in the NPPES registry as of the last update on 2017-07-10.

IndividualActive

Bryce Liedtke

NPI 1063934164 · Specialist · Berkeley, CA

Bryce Liedtke is a Specialist provider in Berkeley, CA (NPI 1063934164).

Provider details

NPI number: 1063934164
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

SpecialistPrimary174400000X
Other Service Providers

Profile Score

Established profile(63/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
8 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3200 Adeline St

Berkeley, CA 94703-2407

Phone: (510) 506-0203

Street-level locationGet directions

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Mailing address