BRENT LARSEN MD NPI 1285695262

NPI Information

  • NPI: 1285695262
  • Provider Name: BRENT LARSEN, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 3460 PIONEER PKWY
    WEST VALLEY CITY, UT
    ZIP 84120
  • Phone: (801) 964-3100

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NPI Details

Brent Larsen, MD is an emergency medicine in West Valley City, UT. 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. Brent Larsen, MD NPI is 1285695262. 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:

3460 PIONEER PKWY
WEST VALLEY CITY, UT
ZIP 84120-049
Phone: (801) 964-3100

The enumeration date for this NPI number is 3/30/2006 and was last updated on 4/29/2010.

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
1207PE0004XEmergency MedicineEmergency Medical Services372928-1205UTAHNo
2207P00000XEmergency Medicine372928-1205UTAHYes

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
1H10493MEDICARE UPINUTAH
2005568321MEDICARE ID-TYPE UNSPECIFIEDUTAH3460 PIONEER PKWY, WVC
3D3327MEDICAIDUTAH
4005568521MEDICARE ID-TYPE UNSPECIFIEDUTAH630 MEDICAL DR, BOUNTIFUL

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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