BRIAN J LARSON (NPI# 1861498370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861498370 |
| Entity Type | Individual |
| Full Name | BRIAN J LARSON |
| Credential | MD |
| Practice Address |
3485 Independence Dr Homewood AL 35209-5603 |
| Practice Telephone | 2054144402 |
| Practice Fax Number | 2054144425 |
| Mailing Telephone | 2054144402 |
| Mailing Fax Number | 2054144425 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2009-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
11787 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | CIGNA GOVERNMENT SERVICES PTAN | 0366100001 | 01 |
| AL | MC NSC | 0366100001 | 01 |
| AL | RAILROAD MEDICARE PTAN | P00462711 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760714851 | Brian David Larson | Registered Nurse | 7435 Sw Alpine Dr, Beaverton, OR 97008-8820 | 2010-02-01 |
| 1285847269 | Brian James Larson | Dentist | 418 Briggs Ave S, Park River, ND 58270 | 2007-05-07 |
| 1083836639 | Brian J Larson | Specialist/Technologist, Other | 905 W St Anthony Ave, Effingham, IL 62401 | 2007-05-03 |
| 1952473415 | Brian Edward Larson | Chiropractor | 189 S Binkley St, Suite 101, Soldotna, AK 99669-8007 | 2006-11-13 |
| 1174987374 | Brian J Larson | Hospitalist | 170 N 1100 E, American Fork, UT 84003-2096 | 2016-04-13 |
| 1912125493 | Brian Daniel Larson | Anesthesiology | 5955 Zeamer Ave, 673rd Mdg, Jber, AK 99506-3702 | 2007-04-23 |
| 1689795726 | Brian Larson | Counselor | 1028 Walnut St, Yankton, SD 57078-2910 | 2007-04-03 |
| 1558384784 | Brian James Larson | Nurse Anesthetist, Certified Registered | 3333 Riverbend Dr, Springfield, OR 97477-8800 | 2006-07-26 |
| Street Address |
3485 INDEPENDENCE DR |
| City | HOMEWOOD |
| State | AL |
| Zip Code | 35209-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497232458 | Mersadies Berlynn Orr | Nurse Practitioner | 3485 Independence Dr, Homewood, AL 35209-5603 | 2018-07-23 |
| 1649775412 | Bellamy Clarissa Davis | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2018-03-26 |
| 1831633098 | Krystle E Phillips | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2016-12-07 |
| 1265824395 | David Thomas Gilmore | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2015-02-26 |
| 1275890386 | Tyler Lewis Poston | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2012-04-13 |
| 1831489707 | Laura Ashley Martin | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2011-04-13 |
| 1770710915 | Alison Marie Parden | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2009-06-15 |
| 1073778452 | Michael Eric Brewer Jr. | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2008-07-24 |
| 1427218460 | Austin T Lutz | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2008-06-12 |
| 1205026846 | Thomas D Holley | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2007-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1578940029 | Robert Spencer Kirkland | Radiology | 44 Medical Park Dr E, Birmingham, AL 35235-3401 | 2015-05-05 |
| 1215345723 | Baldwin County Cancer Center LLC | Radiology | 808 Morphy Ave, Fairhope, AL 36532-1908 | 2014-07-28 |
| 1366887945 | Olivia Claire Ball | Radiology | 5 Mobile Infirmary Cir Ste G805, Mobile, AL 36607-3513 | 2013-05-08 |
| 1972855450 | Sawrie Oncology Inc. | Radiology | 1207 Azalea Pl, Brewton, AL 36426-1337 | 2012-10-09 |
| 1780936260 | Sawrie Oncology Inc | Radiology | 200 Rumbley Rd, Monroeville, AL 36460-3064 | 2012-10-09 |
| 1841507472 | Rolf Parker Griffith Sr. | Radiology | 432 Echols Av. S.e., Huntsville, AL 35801-4125 | 2010-09-02 |
| 1326233404 | Assurance Oncology Services LLC | Radiology | 70 Bowden Cir, Chelsea, AL 35043-3215 | 2007-09-11 |
| 1376749143 | Brian Anthony Bates | Radiology | 1308 Bowman Rd, Birmingham, AL 35235-2511 | 2007-06-26 |
| 1053441196 | Bethesda Resources Inc | Radiology | 208 Marengo St, Florence, AL 35630-6097 | 2007-03-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.