Active NPI
Brian J Larson, MD
- Radiation Oncology Physician
- Homewood, AL
National Provider Identifier
1861498370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 11787
- Practice address
- 3485 Independence Dr
Homewood, AL 35209-5603 - Phone
- (205) 414-4402
- Fax
- (205) 414-4425
- NPI assigned
- Jun 21, 2005
- Last updated
- Sep 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 11787 | AL | Primary |
Addresses
Primary practice location
3485 Independence Dr
Homewood, AL 35209-5603
Mailing address
3485 Independence Dr
Homewood, AL 35209-5603
Phone (205) 414-4402
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0366100001 | Other | AL | CIGNA GOVERNMENT SERVICES PTAN |
| 0366100001 | Other | AL | MC NSC |
| P00462711 | Other | AL | RAILROAD MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.04 of 100
- Quality
- 68.83
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 83.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11787 | AL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Centers of Alabama PC | Current | Accepting new patients | |
| Urology Centers of Alabama PC | Radiation Oncology | Current | Accepting new patients |
| Hematology & Oncology Associates of Alabama LLC | Past | Accepting new patients | |
| Birmingham Radiological Group PC | Radiation Oncology | Past | Accepting new patients |
| Hematology and Oncology Associates of Alabama, LLC | Past | Accepting new patients |
Locations
50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000
3485 Independence Dr
Homewood, AL 35209
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UCA Specialty Pharmacy
- Community/Retail Pharmacy
- Homewood, AL
- NPI 1023861796
-
- Diagnostic Radiology Physician
- Birmingham, AL
- NPI 1376594192
Radiation Oncology
-
- Hematology & Oncology Physician
- Fultondale, AL
- NPI 1033443775
-
- Hematology & Oncology Physician
- Anniston, AL
- NPI 1528251642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1861498370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3485 INDEPENDENCE DR",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352095603",
"telephone_number": "205-414-4402",
"fax_number": "205-414-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3485 INDEPENDENCE DR",
"city": "HOMEWOOD",
"state": "AL",
"postal_code": "352095603",
"telephone_number": "205-414-4402",
"fax_number": "205-414-4425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "BRIAN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "AL",
"license": "11787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GOVERNMENT SERVICES PTAN",
"identifier": "0366100001",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC NSC",
"identifier": "0366100001",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00462711",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Homewood, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.