Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Bayard Larcom IV, MD

Individual provider General Practice Physician · NPI 1336604297

Charles Bayard Larcom IV, MD is a General Practice Physician in Tacoma, Washington. Works from 3 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2019
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9040 Jackson Ave
Tacoma, WA 98431
Phone: (253) 968-2462
Fax: (253) 968-2972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8901 Wisconsin Ave, Bethesda, MD 20889-5600 — (012) 954-1913
  • 9040 Fitzsimmons Dr, Joint Base Lewis McChord, WA 98431-1000 — (253) 968-0208

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 7491920 (WI)
General Practice Physician Taxonomy 208D00000X · Licence 74919-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 7491920 (WI)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 7491920 (WI)

Record details

NPI number1336604297
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 5, 2019
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

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