Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jordan Taylor Liebman, PA-C

Individual provider Physician Assistant · NPI 1760198386

Mr. Jordan Taylor Liebman, PA-C is a Physician Assistant in Bridgeport, Connecticut. Qualified in 2022, 4 years ago. Practices with Queens University Medical Group, a 623-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
4
Licensed in
CT
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3180 Main St Ste 301
Bridgeport, CT 06606-4237
Phone: (203) 373-9100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CT)

Record details

NPI number1760198386
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2023
Last updated in NPPESFebruary 1, 2023
Certification dateFebruary 1, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Queens University Medical Group — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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