DR. CODY BRAXTON LARSEN MD NPI 1003279456

NPI Information

  • NPI: 1003279456
  • Provider Name: DR. CODY BRAXTON LARSEN, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 800 WHEELING AVE
    GLEN DALE, WV
    ZIP 26038
  • Phone: (304) 845-3211

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NPI Details

DR. Cody Braxton Larsen, MD is an emergency medicine in Glen Dale, WV with 10 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Cody Braxton Larsen, MD NPI is 1003279456. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

800 WHEELING AVE
GLEN DALE, WV
ZIP 26038-660
Phone: (304) 845-3211

The NPI 1003279456 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Emergency department visit for problem of mild to moderate severity (HCPCS:99282)
  • Emergent insertion of breathing tube into windpipe using an endoscope (HCPCS:31500)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)

The enumeration date for this NPI number is 4/2/2016 and was last updated on 4/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine25MA10897300NEW JERSEYNo
2207P00000XEmergency Medicine29862WEST VIRGINIAYes
3207P00000XEmergency Medicine304201NEW YORKNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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