Brent James Larson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

997 Issued in MN

Practice address

6600 Lyndale Ave S
Richfield, MN 55423-3380

Phone

(612) 788-8778

NPI assigned

May 18, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

College of Podiatric Med and Surgery, Des Moines University, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Feet, Foot and Ankle Health CenterGroup PAC ID 1254401300, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maple Grove Hospital Hospital, Maple Grove, MN, CCN 240214

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Active Feet , Foot & Ankle Health Center

  • Primary Podiatric Medicine Podiatrist
  • Minneapolis, MN
  • NPI 1689848392

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• In House Senior Services, LLC

  • Primary Podiatric Medicine Podiatrist
  • Richfield, MN
  • NPI 1083962294
  Medicare reassignment NPD
• Active Feet, Foot & Ankle Health Center

  • Foot & Ankle Surgery Podiatrist
  • Minneapolis, MN
  • NPI 1164716387
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Maple Grove Hospital Corporation

  • General Acute Care Hospital
  • Maple Grove, MN
  • NPI 1225272552
  Care Compare affiliation

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1659759082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 LYNDALE AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554233380",
            "telephone_number": "718-817-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 LYNDALE AVE S",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554233380",
            "telephone_number": "612-788-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "BRENT",
        "middle_name": "JAMES",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-18",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MN",
            "license": "997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Larenzie, OTD, OTR/L
• James P Laroy, MD
• Larson Phcy Inc
• Ashli Larson
• Benjamin David Larson, DDS
• Julie Larson
• Ngoc-Thanh T Le, APRN, FNP-C
• Thao Phuoc Le, DDS
• Michael J Legris, M.D.
• Jacob Paul Lehrer, LMFT

• Foot & Ankle Surgery Podiatrist in Richfield, MN
• Providers in Richfield, MN by specialty
• Foot & Ankle Surgery Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.