BRADLEY LARSON (M.D.) – Anesthesiology Physician, NPI 1508219239

BRADLEY LARSON (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301110680 (MI). The NPI Number for BRADLEY LARSON (M.D.) is 1508219239

Main info

Male
10 Years Of Experience
Name
BRADLEY LARSON (M.D.)
NPI
1508219239
Phone
(617) 355-5888
Address
300 LONGWOOD AVE, BADER 3
Enumeration Date
18 July 2016
Last Update Date
1 November 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2146870001
Graduation Year
2016 (10 years ago)
PAC ID
4082003892
Group Practice PAC ID
7911325469
Professional Enrollment ID
I20211117001728
Address ID
MI481244089DE18101BLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,323 ANESTHESIOLOGY in MA

Provider Addresses for BRADLEY LARSON (M.D.)

  • 300 LONGWOOD AVE, BADER 3

    DEPARTMENT OF ANESTHESIA

    BOSTON, MA 021155724

    Phone: (617) 355-5888

    Type: Mailing

  • 3601 W 13 MILE RD DEPT OF

    ROYAL OAK, MI 480736712

    Phone: (248) 898-0833

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($20).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

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: 2021-11-17

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
I20211117001728IAnesthesiologyMITBD

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
00145Anesthesia for retinal surgery3535$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2120$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
01922Anesthesia for x-ray or radiation therapy1414$0
00142Anesthesia for lens surgery1111$0
View full utilization report →

Insurance plans in this area (ZIP 02115)

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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: 7911325469View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Anesthesiology, Interventional Pain ManagementMI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

Is there an official ID for BRADLEY LARSON (M.D.) in U.S. healthcare records?
The official identifier for BRADLEY LARSON (M.D.) is NPI 1508219239.
Is BRADLEY LARSON (M.D.) shown as active in public data?
Registry records indicate BRADLEY LARSON (M.D.) maintains an active NPI.
What kind of doctor is BRADLEY LARSON (M.D.)?
BRADLEY LARSON (M.D.) is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with BRADLEY LARSON (M.D.)?
Directory geography for BRADLEY LARSON (M.D.) centers on Boston, Massachusetts.
Does BRADLEY LARSON (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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