DR. BRUCE D LARSEN (NPI# 1922189372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922189372 |
| Entity Type | Individual |
| Full Name | DR. BRUCE D LARSEN |
| Credential | M.D. |
| Practice Address |
2850 N 2000 W Farr West UT 84404-9219 |
| Mailing Address |
1055 N 500 W Attn: Credentialing Provo UT 84604 |
| Practice Telephone | 8013775757 |
| Mailing Telephone | 8013548225 |
| Mailing Fax Number | 8014180941 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 49625291205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 942854058001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2850 N 2000 W, Farr West, UT 844049219 | 8013775757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184839912 | Bruce Merrill Larsen | Dentist | 240 N State St # 21, Mt Pleasant, UT 84647-1107 | 2007-05-14 |
| Street Address |
2850 N 2000 W |
| City | FARR WEST |
| State | UT |
| Zip Code | 84404-9219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548755986 | Bret Sweeten | Nurse Practitioner | 2850 N 2000 W, Farr West, UT 84404-9219 | 2018-06-27 |
| 1528460482 | Peak Health and Wellness, LLC | Clinical Medical Laboratory | 2850 N 2000 W, #203, Farr West, UT 84404-9219 | 2014-09-23 |
| 1801227830 | Farr West Urgent Care and Family Medicine LLC | Point of Service | 2850 N 2000 W, Suite 101, Farr West, UT 84404 | 2013-12-02 |
| 1255617072 | Cook Foot & Ankle Specialists | Podiatrist | 2850 N 2000 W, Farr West, UT 84404-9219 | 2011-10-25 |
| 1609020072 | Julia Anne Rothgery | Family Medicine | 2850 N 2000 W, Farr West, UT 84404-9219 | 2008-11-11 |
| 1932353653 | Shereen Zaugg | Nurse Practitioner | 2850 N 2000 W, #203, Farr West, UT 84404-9219 | 2008-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881159648 | Bingham Marriage & Family Counseling | Counselor | 1812 W 2000 N #1, Ogden, UT 84404 | 2019-02-06 |
| 1609362094 | Hoopes Dental | Dentist | 333 2nd St. Suite 1a, Ogden, UT 84404 | 2018-07-09 |
| 1497241384 | Alysia Cohen | Specialist/Technologist | 1527 9th Street, Ogden, UT 84404 | 2018-07-03 |
| 1235648049 | Walk Perfect, Inc. | Podiatrist | 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 | 2017-09-25 |
| 1043738602 | Veronica Skidmore | Specialist/Technologist | 3848 Harrison Blvd., Ogden, UT 84404 | 2017-09-05 |
| 1134645526 | Pco-kta, LLC | Pharmacy | 3673 West 2600 North, Plain City, UT 84404 | 2017-08-17 |
| 1568899227 | Alisa Roberts | Marriage & Family Therapist | 1181 Christmas Box Lane, Ogden, UT 84404 | 2013-09-26 |
| 1366796351 | Kenneth Andrew Boothe | Chiropractor | 1920 North 250 West, Suite 24, Ogden, UT 84404 | 2012-10-30 |
| 1760730659 | Mercury Medical LLC | Durable Medical Equipment & Medical Supplies | 3385 W 2525 N, Plain City, UT 84404 | 2012-08-27 |
| 1700131471 | Tina Middleton | Massage Therapist | 1700w 2700n, # 37, Pleasant View, UT 84404 | 2012-07-19 |
| Find all providers in zip 84404 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346358546 | Ann Marie Schmitt | Family Medicine | 2850 N 2000 W Ste 101, Farr West, UT 84404-9230 | 2006-08-28 |
| 1609020072 | Julia Anne Rothgery | Family Medicine | 2850 N 2000 W, Farr West, UT 84404-9219 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453160 | Utah Valley Natural Health Clinic | Family Medicine | 3311 N University Ave Ste 100, Provo, UT 84604-7432 | 2020-10-06 |
| 1528665411 | Rejuvaroom LLC | Family Medicine | 954 N 200 E, Spanish Fork, UT 84660-1247 | 2020-10-05 |
| 1356957468 | Aubrie Dawn Tilley | Family Medicine | 1741 E Imperial Park Ln, Salt Lake City, UT 84106-3379 | 2020-09-23 |
| 1588274013 | Jack L Cox | Family Medicine | 1588 N Dutch Meadows Ln, Midway, UT 84049-1275 | 2020-08-10 |
| 1457969834 | Sandra Lee Porter | Family Medicine | 3979 S Jester Dr, Salt Lake City, UT 84123-1227 | 2020-07-21 |
| 1265057673 | Onsite Care Clinics | Family Medicine | 230 S 500 E Ste 510, Salt Lake City, UT 84102-2028 | 2020-06-11 |
| 1154942985 | Healing Center of Utah | Family Medicine | 2630 W 3500 S Ste B, West Valley City, UT 84119-3113 | 2020-05-04 |
| 1649805813 | Hilorie Edwards Garside | Family Medicine | 3024 W 300 N Ste 3, West Point, UT 84015-7258 | 2020-03-09 |
| 1417595497 | Regenerative Medicine of Utah, LLC | Family Medicine | 2297 N Hill Field Rd Ste 101, Layton, UT 84041-6927 | 2019-12-20 |
| 1871131623 | In Home Provider | Family Medicine | 2432 Concord Ave, Santa Clara, UT 84765-5621 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.