Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brennen Larsen, PA-C

Individual provider Physician Assistant · NPI 1740659010

Brennen Larsen, PA-C is a Physician Assistant in Rexburg, Idaho. Qualified in 2015, 11 years ago. Practices with Fall River Medical PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

21 Winn Dr
Rexburg, ID 83440-5277
Phone: (208) 881-5222
Fax: (877) 441-4715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6141 (AZ)

Record details

NPI number1740659010
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 17, 2015
Last updated in NPPESNovember 19, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Fall River Medical Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rexburg