Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avery Berlin Lisenbe

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871080739

Avery Berlin Lisenbe is an Emergency Medicine in Opelika, Alabama. Qualified in 2017, 9 years ago. Practices with The East Alabama Health Care Authority, a 116-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
9
Licensed in
AL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone: (334) 528-1112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 42332 (AL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871080739
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2018
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The East Alabama Health Care Authority — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Opelika