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Active NPI 1083836639 Individual Practitioner Male Practitioner

Brian J Larson , CNIM

Specialist/Technologist, Other - Electroneurodiagnostic • Effingham, IL

Professional Overview & Biography Verified Profile Summary

Brian Larson, CNIM is a registered healthcare professional specializing in Specialist/Technologist, Other - Electroneurodiagnostic in Effingham, IL. Practice services are available at 905 W ST ANTHONY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

905 W St Anthony Ave

Effingham, IL 62401

Telephone 2173427256
Associated Practice Facility / Clinic
🏢 Broncor Inc Facility NPI 1134285307

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist, Other - Electroneurodiagnostic in Effingham, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Effingham, IL (33 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist, Other - Electroneurodiagnostic Primary Specialty

NUCC Taxonomy Code: 246ZE0600X

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 905 W ST ANTHONY AVE, EFFINGHAM, IL 62401 (Tel: 2173427256)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1527, EFFINGHAM, IL 624011527 (Tel: 2173427256)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRIAN LARSON, CNIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist/Technologist, Other

🟢
Initial NPI Registration & Enumeration May 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083836639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 1527

Effingham, IL 624011527

Phone: 2173427256

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.