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LARRY D IVERSEN MD LTD PS
NPI 1295854123
Specialist in Bremerton, WA

Active since March 29, 2007
840 CALLAHAN DR, SUITE C, BREMERTON, WA 98310(360) 479-2525(360) 479-0877 Get Directions Write a Review

NPPES record last updated: November 19, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Larry D Iversen Md Ltd Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY D IVERSEN MD LTD PS (NPI 1295854123) is a healthcare organization registered as a specialist in Bremerton, Washington and active in the NPI registry since March 2007. The organization lists Larry D Iversen, Owner, as its authorized official.

NPPES Registry Identity

NPI1295854123
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLARRY D IVERSEN MD LTD PS
Location Address840 CALLAHAN DR, SUITE CBremerton, WA 98310-3378
Mailing Address840 Callahan Dr, Suite CBremerton, WA 98310-3378 · (360) 479-2525 · Fax (360) 479-0877
Phone(360) 479-2525
Fax(360) 479-0877
Organization SubpartNo
Authorized OfficialLarry D IversenOwner · (360) 479-2525
Enumeration DateMarch 29, 2007
Last NPPES UpdateNovember 19, 2007
✔ NPI 1295854123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MD00012070
Definition
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.
840 CALLAHAN DR, Bremerton, WA 98310
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Other Identifiers 2

Medicare UPINA06944WA
Medicare PING8864643WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DMITRI V VASIN MD
Internal Medicine (Nephrology)
840 CALLAHAN DR, STE A
BREMERTON, WA 98310
Kitsap County (360) 479-0349

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry D Iversen MD Ltd Ps's NPI number?

The NPI number for Larry D Iversen MD Ltd Ps is 1295854123. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Larry D Iversen MD Ltd Ps located?

Larry D Iversen MD Ltd Ps is located at 840 Callahan Dr Suite C, Bremerton, WA 98310. The listed phone number is (360) 479-2525.

What is Larry D Iversen MD Ltd Ps's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Larry D Iversen MD Ltd Ps was last updated on November 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.