LARISSA R. BRANDENBURG DO – NPI #1932661188
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
LARISSA BRANDENBURG is a physician located in PENSACOLA, FL. NPPES has assigned the NPI number 1932661188 to LARISSA BRANDENBURG on April 04, 2019. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
The NPI profile was last updated on Jul 08, 2024. 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 LARISSA BRANDENBURG below.
NPI Profile for
LARISSA R. BRANDENBURG
(more than 7 years ago)
220 HOVEY RD
PENSACOLA, FL 32508 Phone: (850) 452-9484 Fax:
2 Other location(s):
Pensacola, FL 32508-5533
Phone: (850) 452-5242
Bethesda, MD 20889-0004
Phone: (301) 295-4611
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.
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 |
|---|---|---|
| 208D00000X - General Practice (Primary) |
FL | OS18242 |
| 390200000X - Student in an Organized Health Care Education/Training Program |
||
| 171000000X - Military Health Care Provider |
VA | 0102206224 |
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.