BRENDAN CURRAN STACK MD NPI 1437165164

NPI Information

  • NPI: 1437165164
  • Provider Name: BRENDAN CURRAN STACK, MD
  • Classification: Otolaryngology - 207YX0007X
  • Specialization: Plastic Surgery within the Head & Neck
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 720 N BOND ST
    SPRINGFIELD, IL
    ZIP 62702
  • Phone: (217) 545-8000

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NPI Details

Brendan Curran Stack, MD is a plastic surgery within the head and neck otolaryngology in Springfield, IL. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. Brendan Curran Stack, MD NPI is 1437165164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

720 N BOND ST
SPRINGFIELD, IL
ZIP 62702-952
Phone: (217) 545-8000

The NPI 1437165164 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 2/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyE4564ARKANSASNo
2207YS0123XOtolaryngologyFacial Plastic SurgeryE4564ARKANSASNo
3207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckE-4564ARKANSASNo
4207YX0007XOtolaryngologyPlastic Surgery within the Head & Neck036-151806ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15N2817666OTHERADDITIONAL MEDICARE
2E4564OTHERARKANSASMEDICAL LICENSE
3T2005-275OTHERARKANSASTRICARE
45N281OTHERARKANSASBCBS
50507002300OTHERARKANSASQUALCHOICE
6158045001MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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