OrganizationActive
Belvidere Emergency Physicians, LLC
NPI 1306543319 · Emergency Medicine Physician · Belvidere, IL
Provider details
- NPI number
- 1306543319
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Larsen, Director of Credentialing(770) 854-5400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1625 S State St
Belvidere, IL 61008-5907
Phone: (815) 547-5441
Street-level locationGet directions
Mailing address
5665 New Northside Dr Ste 320
Atlanta, GA 30328-5834
Registry dates
- Enumerated
- 2023-02-09
- Last updated
- 2023-02-09
- Certified
- 2023-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.