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

Dr. Cody Braxton Larsen, MD

Individual provider Emergency Medicine Physician · NPI 1003279456

Dr. Cody Braxton Larsen, MD is an Emergency Medicine in Glen Dale, West Virginia. Graduated from George Washington University School of Medicine in 2016, 10 years ago. Practices with Ignite Emergency Physicians a Medical Corporation, a 44-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey, New York and West Virginia.

Years since qualifying
10
Trained at
George Washington University School of Medicine
Licensed in
NJ, NY, WV
In the registry since
2016
Specialties on file
3
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

800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone: (304) 845-3211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 263 18th Ave, San Francisco, CA 94121-2314 — (415) 704-4757
  • 3 E Benjamin Dr, New Martinsville, WV 26155-2705 — (304) 455-8000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 29862 (WV)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 25MA10897300 (NJ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 304201 (NY)

Record details

NPI number1003279456
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2016
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Ignite Emergency Physicians A Medical Corporation — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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