BRANDY L. LARSON FNP – NPI #1730652280
Obstetrics & Gynecology
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
BRANDY LARSON is a physician located in IDAHO FALLS, ID. NPPES has assigned the NPI number 1730652280 to BRANDY LARSON on January 08, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology
The NPI profile was previously updated about 4 years ago on Oct 31, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRANDY LARSON below.
NPI Profile for
BRANDY L. LARSON
(more than 7 years ago)
IDAHO FALLS, ID 83402-3344 Phone: (208) 557-2900 Fax: (208) 557-2910
IDAHO FALLS, ID 83404-4970 Phone: (208) 557-2900 Fax: (208) 557-2910
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for BRANDY LARSON
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | ID | 1730652280 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207VX0201X - Obstetrics & Gynecology / Gynecologic Oncology (Primary) |
ID | CNP60357 |
| 363L00000X - Nurse Practitioner |
ID | 60357 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
BRANDY LARSON is affiliated with the following medical group(s):
- HOSPITAL
- EASTERN IDAHO REGIONAL MEDICAL CENTER3100 CHANNING WAY
IDAHO FALLS, ID 83404 - MOUNTAIN VIEW HOSPITAL1485 PARKWAY DRIVE
BLACKFOOT, ID 83221
- EASTERN IDAHO REGIONAL MEDICAL CENTER3100 CHANNING WAY
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