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BRUCE D LARSON PAC NPI 1265470371


NPI Information

NPI: 1265470371
Provider Name: BRUCE D LARSON, PAC
Classification: Physician Assistant - 363A00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
819 MAIN ST
LISBON, ND
ZIP 58054
Phone: (701) 683-4134
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Bruce D Larson, PAC is a physician assistant in Lisbon, ND with 24 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Bruce D Larson, PAC NPI is 1265470371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

819 MAIN ST
LISBON, ND
ZIP 58054-244
Phone: (701) 683-4134
Fax: (701) 683-4094

The NPI 1265470371 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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Vaccine for influenza for injection into muscle (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 6/2/2006 and was last updated on 2/19/2016.


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
1363A00000XPhysician AssistantPAC0257NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1137047OTHERNORTH DAKOTAUCARE #
223227OTHERNORTH DAKOTANDBS #
3798727700MEDICAIDNORTH DAKOTA
40113759OTHERNORTH DAKOTAMEDICA #
5515S5LAOTHERNORTH DAKOTAMNBS #
61797235OTHERNORTH DAKOTAAMERICA'S PPO/ARAZ #
7514S3LAOTHERNORTH DAKOTAMNBS #
8P19237MEDICARE UPINNORTH DAKOTA
923228MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTAND MEDICARE #
1023227MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTAND MEDICARE #
110113760OTHERNORTH DAKOTAMEDICA #
12P00055624OTHERNORTH DAKOTARR MEDICARE #
1323228OTHERNORTH DAKOTANDBS #
14713110MEDICARE PINNORTH DAKOTA
15HP38590OTHERNORTH DAKOTAHEALTHPARTNERS #
160113761OTHERNORTH DAKOTAMEDICA #
17DA9061031057OTHERNORTH DAKOTAPREFERRED ONE #
18514S4LSOTHERNORTH DAKOTAMNBS #

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.