Brad David Larsen, PA-C in Apo, AE - Physician Assistant

Brad David Larsen, PA-C is a Physician Assistant - Medical physician based in Apo, Armed Forces Europe. Brad David Larsen is licensed to practice in Georgia (license number 1161415) and his current practice location is 31st Medical Group, Unit 6180, Apo, Armed Forces Europe. He can be reached at his office (for appointments etc.) via phone at (314) 632-5105.

NPI number for Brad David Larsen is 1144700782 and his current mailing address is 31 Medical Group, Unit 6180, Apo, Armed Forces Europe. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144700782.

Contact Information

	Brad David Larsen, PA-C
	31st Medical Group, Unit 6180, Apo, AE 09604
	(314) 632-5105
	Not Available

Physician's Profile

Full Name	Brad David Larsen
Gender	Male
Speciality	Physician Assistant - Medical
Location	31st Medical Group, Apo, Armed Forces Europe
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1144700782
Provider Enumeration Date: 08/14/2018
Last Update Date: 08/17/2022

Medical Identifiers

Medical identifiers for Brad David Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144700782	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1161415 (Georgia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
363AM0700X	Physician Assistant - Medical	1161415 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brad David Larsen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Brad David Larsen, PA-C 31 Medical Group, Unit 6180, Apo, AE 09604 Ph: () -	Brad David Larsen, PA-C 31st Medical Group, Unit 6180, Apo, AE 09604 Ph: (314) 632-5105

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Brad David Larsen, PA-C - Physician Assistant in Apo, AE