Individual provider Active NPI

Brian Timothy Larsen, M.D.

  • Internal Medicine Physician
  • Hermiston, OR
National Provider Identifier
1366768533
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD165374 Issued in OR
Practice address
620 NW 11TH St Ste M103
Hermiston, OR 97838-6941
Phone
(541) 567-5305
Fax
(541) 303-8767
NPI assigned
Apr 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD165374 OR Primary

Addresses

Primary practice location

620 NW 11TH St Ste M103
Hermiston, OR 97838-6941

Mailing address

620 NW 11TH St Ste M103
Hermiston, OR 97838-6941
Phone (541) 667-3797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140422001923 OR Practitioner - Internal Medicine 4880826031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
64.68
Promoting interoperability
100
Improvement activities
40
Cost
47.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Health Care System CurrentSince Mar 15, 2014 Accepting new patients
Good Shepherd Health Care System CurrentSince Mar 15, 2014 Accepting new patients
Good Shepherd Health Care System Past Accepting new patients

Locations

620 NW 11th St
Ste M103
Hermiston, OR 97838
Phone (541) 667-3830

600 NW 11th St
Ste E33
Hermiston, OR 97838
Phone (541) 667-3740

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

620 NW 11th St
#M103
Hermiston, OR 97838

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1366768533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 NW 11TH ST STE M103",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386941",
            "telephone_number": "541-667-3797",
            "fax_number": "541-303-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NW 11TH ST STE M103",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386941",
            "telephone_number": "541-567-5305",
            "fax_number": "541-303-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "BRIAN",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD165374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

Verify at the official NPI Registry.