Individual provider Active NPI

Ryan James Larsen

  • Foot & Ankle Surgery Podiatrist
  • Bozeman, MT
National Provider Identifier
1972103885
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
164888 Issued in MT
Practice address
1050 E Main St Ste 2
Bozeman, MT 59715-3823
Phone
(406) 587-8478
Fax
(406) 582-0730
NPI assigned
Oct 29, 2020
Last updated
Mar 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 164888 MT Primary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 164888 MT

Addresses

Primary practice location

1050 E Main St Ste 2
Bozeman, MT 59715-3823

Mailing address

401 S Alabama St Ste 10
Butte, MT 59701-2358
Phone (406) 782-2278

Other practice location 1

120 N 7th Ave
Bozeman, MT 59715-3304
Phone (406) 587-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240606002170 IN Practitioner - Podiatry 3870995616 Reassigns benefits to 1 organization
I20260309001783 MT Practitioner - Podiatry 3870995616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Francis J Bean DPM PCGroup PAC ID 0143226415, 2 clinicians
Big Sky Foot and Ankle Institute IncGroup PAC ID 8921386665, 4 clinicians

Practice addresses (Care Compare)

1001 Hadley Rd
Suite 105
Mooresville, IN 46158-1884
Phone (317) 834-5777

401 S Alabama St
Suite 10
Butte, MT 59701-2358
Phone (406) 782-2278

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue78
Removal or shaving of skin growth25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164888MTMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Sky Foot & Ankle Institute, Inc Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Francis J. Bean DPM PC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Bozeman Foot and Ankle Clinic P.C. Single Specialty PastSince Nov 18, 1991 Accepting new patients

Locations

1001 Hadley Rd
Mooresville, IN 46158
Phone (317) 831-9340

1001 Hadley Rd
Ste 105
Mooresville, IN 46158
Phone (317) 834-5777

1050 E Main St
Ste 2
Bozeman, MT 59715
Phone (406) 587-8478

401 S Alabama St
Ste 10
Butte, MT 59701
Phone (406) 782-2278

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14376/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rlarsen592332@direct.franciscanalliance.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1972103885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S ALABAMA ST STE 10",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012358",
            "telephone_number": "406-782-2278",
            "fax_number": "406-782-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E MAIN ST STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153823",
            "telephone_number": "406-587-8478",
            "fax_number": "406-582-0730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597153304",
            "country_code": "US",
            "telephone_number": "406-587-8478",
            "fax_number": "406-582-0730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MT",
            "license": "164888",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MT",
            "license": "164888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.