DR. BRADLEY J. G. LARSON (MD) – Hematology & Oncology Physician, NPI 1194729582

DR. BRADLEY J. G. LARSON (MD) is a healthcare provider. based in Marietta, Georgia. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. 054449 (GA). The NPI Number for DR. BRADLEY J. G. LARSON (MD) is 1194729582

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRADLEY J. G. LARSON (MD)
NPI
1194729582
Phone
(678) 331-3297
Address
531 ROSELANE ST NW STE 710
Enumeration Date
13 June 2005
Last Update Date
13 December 2017

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
7703332220
Graduation Year
1997 (29 years ago)
PAC ID
5395718746
Group Practice PAC ID
0345670386
Professional Enrollment ID
I20040816000084
Address ID
GA301174454CA157XXAVEX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

348 HEMATOLOGY/ONCOLOGY in GA

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Provider Addresses for DR. BRADLEY J. G. LARSON (MD)

  • Roselane Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    MARIETTA, GA 300606975

    Phone: (678) 331-3297

    Fax: (678) 581-7187

    Type: Mailing

  • 157, Clinic Avenue, Carrollton, Carroll County, Georgia, 30117, United States

    STE 101

    CARROLLTON, GA 301174413

    Phone: (770) 333-2220

    Fax: (678) 581-7180

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $1,248.

Total Amount is formed as General ($1,248) + Research ($0) + Ownership ($0) = $1,248.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Seagen Inc. ($177).

Total Amount

$1,248

General + Research + Ownership

Payments

51

Total payment records

General Amount

$1,248

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040816000084IHematology/OncologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,028386$0
99213Established patient office or other outpatient visit, 20-29 minutes278233$0
99204New patient office or other outpatient visit, 45-59 minutes4242$0
99215Established patient office or other outpatient visit, 40-54 minutes3935$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3418$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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Provider's Procedures

DR. BRADLEY J. G. LARSON (MD) performs procedures in HEMATOLOGY/ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HEMATOLOGY/ONCOLOGYGA81002Urinalysis, manual test4513
HEMATOLOGY/ONCOLOGYGA96367Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour801103
HEMATOLOGY/ONCOLOGYGA96375Injection of different drug or substance into a vein for therapy, diagnosis, or prevention46380

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345670386View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YGA
Physician AssistantGA
H E M A T O L O G Y/ O N C O L O G YNY
H E M A T O L O G Y/ O N C O L O G YGA

Reviews

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Frequently asked questions

What NPI should I save for DR. BRADLEY J. G. LARSON (MD)?
Save NPI 1194729582 if you need a stable reference for DR. BRADLEY J. G. LARSON (MD).
Is DR. BRADLEY J. G. LARSON (MD) active in the national directory?
DR. BRADLEY J. G. LARSON (MD)'s public NPI profile is in an active state.
What field does DR. BRADLEY J. G. LARSON (MD) work in?
You can think of DR. BRADLEY J. G. LARSON (MD) as practicing within Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Does DR. BRADLEY J. G. LARSON (MD) practice in Georgia?
You will see Marietta, Georgia on file for DR. BRADLEY J. G. LARSON (MD) alongside any extra practice locations.
What if Marietta, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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