LIBERTY PEDIATRICS, LLC – Pediatrics Physician, NPI 1629569744

LIBERTY PEDIATRICS, LLC is a healthcare provider. based in Vestavia, Alabama. specializing in Pediatrics Physician. The NPI Number for LIBERTY PEDIATRICS, LLC is 1629569744

Main info

Organization
Name
LIBERTY PEDIATRICS, LLC
NPI
1629569744
Phone
(205) 492-0126
Address
4387 BOULDER LAKE CIR
Authorized Official
MR. CAMERON C DESHAZO OWNER/MANAGER
Enumeration Date
24 May 2018
Last Update Date
24 May 2018
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

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Provider Addresses for LIBERTY PEDIATRICS, LLC

  • 4387, Boulder Lake Circle, Liberty Park, Vestavia Hills, Jefferson County, Alabama, 35242, United States

    VESTAVIA, AL 352422116

    Phone: (205) 492-0126

    Type: Mailing

  • Corporate Woods Drive, Vestavia Hills, Jefferson County, Alabama, 35223, United States

    VESTAVIA, AL 352422296

    Phone: (205) 492-0126

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35242)

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Reviews

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Frequently asked questions

Can I use this page to confirm LIBERTY PEDIATRICS, LLC's NPI?
Yes. LIBERTY PEDIATRICS, LLC is listed with NPI 1629569744 in the public NPI dataset.
Is LIBERTY PEDIATRICS, LLC listed as active for patients and plans?
The listing shows LIBERTY PEDIATRICS, LLC as active in the NPI system.
What taxonomy line describes LIBERTY PEDIATRICS, LLC?
For research purposes, treat LIBERTY PEDIATRICS, LLC as Pediatrics Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect LIBERTY PEDIATRICS, LLC on a map?
Expect Vestavia, Alabama as a primary anchor for LIBERTY PEDIATRICS, LLC unless the record lists multiple sites.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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