Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1043323892 Deactivated / Inactive NPI Male Practitioner

Dr. Larry Dean Iversen , MD

Specialist • Bremerton, WA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Larry Iversen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2006
NPI Deactivation Date February 01, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Iversen, MD was a registered Specialist practicing in Bremerton, WA. Throughout an active medical career spanning 17 years, Dr. Iversen provided care at the practice location at 840 CALLAHAN DR until profile deactivation on 2023-02-01.

Practice Location & Contact Primary Location

Practice Address

840 Callahan Dr
Suite C

Bremerton, WA 983103378

Telephone 3604792525
Fax 3604790877
Associated Practice Facility / Clinic
🏢 Larry D Iversen Md Ltd Ps Facility NPI 1295854123

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bremerton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
31 Specialists

Practicing in Bremerton, WA (2751 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 Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MD00012070

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Dmitri Vasin , MD

Internal Medicine - Nephrology

NPI 1730132689

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated February 01, 2023

Record deactivated on February 01, 2023

NPI Profile Active November 19, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2007

Registered at 840 CALLAHAN DR, SUITE C, BREMERTON, WA 983103378 (Tel: 3604792525)

📍
Updated Business Mailing Address November 19, 2007

Registered at 840 CALLAHAN DR, SUITE C, BREMERTON, WA 983103378 (Tel: 3604792525)

👤
Provider Name / Credentials Updated November 19, 2007

Recorded as LARRY IVERSEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2007

Specialist (License #MD00012070 in WA)

🟢
Initial NPI Registration & Enumeration August 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Larry Iversen. Be the first to share your experience!

Sign in to leave a review for Dr. Larry Iversen

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1043323892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2006
Last Update: November 19, 2007
Deactivation Date: February 01, 2023

Mailing Address

840 Callahan Dr, Suite C

Bremerton, WA 983103378

Phone: 3604792525

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.