Larry Charles Pearson, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

21803 Issued in WI

Practice address

601 N Barker Rd
110
Brookfield, WI 53045-5929

Phone

(262) 785-0777

Fax

(262) 785-0610

NPI assigned

Aug 4, 2005

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

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• West Suburban Ctr for Arthritis

  • Rheumatology Physician
  • Waukesha, WI
  • NPI 1407857188

  Specialist

  Medicare reassignment NPD
• West Suburban Ctr for Arthritis

  • Non-Pharmacy Dispensing Site
  • Waukesha, WI
  • NPI 1932819505
  NPD (past)

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1699776237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N BARKER RD",
            "address_2": "110",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455929",
            "telephone_number": "262-785-0777",
            "fax_number": "262-785-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N BARKER RD",
            "address_2": "110",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455929",
            "telephone_number": "262-785-0777",
            "fax_number": "262-785-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "LARRY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-04",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WI",
            "license": "21803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30304600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "387464687004",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110094338",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "epic",
            "affiliation": "N",
            "endpointDescription": "EHR messaging to other physicians",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "epic",
            "address_1": "601 N Barker Rd",
            "address_2": "110",
            "city": "Brookfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530455929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert L Paxton, PA-C
• Jacquelyn Marie Paykel, M.D.
• Michael G Pazdan, LCSW MSSW CSAC ICS S
• Pearle Vision
• Pearle Vision Inc
• Amy Elizabeth Pedersen-Baumle, OTR
• Rebecca Messnick Pedersen
• Ellen Claire Pederson-Lewis, LCSW
• Claudia Pedi-Stealey, PT
• Pediatrics West

• Rheumatology Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Rheumatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.