Active NPI
Larsen Medical PLC
- Surgery Physician
- Flint, MI
National Provider Identifier
1992246904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301111208
- Legal business name
- LARSEN MEDICAL PLC
- Practice address
- 302 Kensington Ave
Flint, MI 48503-2044 - Phone
- (810) 762-8092
- Fax
- (810) 762-8892
- NPI assigned
- Mar 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brett Erik Larsen, M.D.
- Title
- Doctor of Medicine
- Phone
- (810) 762-8092
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301111208 | MI | Primary |
Addresses
Primary practice location
302 Kensington Ave
Flint, MI 48503-2044
Mailing address
302 Kensington Ave
Flint, MI 48503-2044
Phone (810) 762-8092
Other names 1
- Brett E Larsen MD
National Provider Directory
National Provider DirectoryLocations
3500 Calkins Rd
Ste A
Flint, MI 48532
Phone (810) 249-5540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489104000000",
"number": "1992246904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 KENSINGTON AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485032044",
"telephone_number": "810-762-8092",
"fax_number": "810-762-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 KENSINGTON AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485032044",
"telephone_number": "810-762-8092",
"fax_number": "810-762-8892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARSEN MEDICAL PLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-10",
"last_updated": "2017-03-10",
"status": "A",
"authorized_official_last_name": "LARSEN",
"authorized_official_first_name": "BRETT",
"authorized_official_middle_name": "ERIK",
"authorized_official_title_or_position": "DOCTOR OF MEDICINE",
"authorized_official_telephone_number": "810-762-8092",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "MI",
"license": "4301111208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brett E Larsen MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.