BRENDAN CURRAN STACK JR. MD
NPI 1437165164
Otolaryngology - Plastic Surgery within the Head & Neck in Springfield, IL
NPI Status: Active since August 01, 2006
Contact Information
720 N BOND ST
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 545-8000
- Individual
- Male
- Otolaryngology
- Plastic Surgery within the Head & Neck
About BRENDAN STACK
This page provides the complete NPI Profile along with additional information for Brendan Stack, a provider established in Springfield, Illinois with a medical specialization in Otolaryngology, focusing in plastic surgery within the head & neck . The healthcare provider is registered in the NPI registry with number 1437165164 assigned on August 2006. The practitioner's primary taxonomy code is 207YX0007X with license number 036-151806 (IL). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1437165164
- Provider Name
- BRENDAN CURRAN STACK JR. MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 720 N BOND ST SPRINGFIELD, IL 62702
- Location Phone
- (217) 545-8000
- Mailing Address
- 21001 LAKE VISTA DR ROLAND, AR 72135
- Mailing Phone
- (501) 868-7299
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-01-2006
- Last Update Date
- 02-19-2020
- Code Navigator
Location Map
Secondary Locations
- 4301 W Markham St # 543
Little Rock, AR 72205
(501) 686-5140
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology Plastic Surgery within the Head & Neck
- Taxonomy Code
- 207YX0007X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036-151806
- License State
- IL
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | E4564 (AR) |
| 2 | 207YS0123X | Allopathic & Osteopathic Physicians | Otolaryngology | E4564 (AR) |
| 3 | 207YX0007X | Allopathic & Osteopathic Physicians | Otolaryngology | E-4564 (AR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5N2817666 | OTHER (01) | ADDITIONAL MEDICARE | |
| E4564 | OTHER (01) | AR | MEDICAL LICENSE |
| T2005-275 | OTHER (01) | AR | TRICARE |
| 5N281 | OTHER (01) | AR | BCBS |
| 0507002300 | OTHER (01) | AR | QUALCHOICE |
| 158045001 | MEDICAID (05) | AR |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1437165164, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SPRINGFIELD, IL 62702
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437165164, enumerated as an "individual" on August 01, 2006.
The provider is located at 720 N BOND ST SPRINGFIELD, IL 62702 and the phone number is (217) 545-8000.
Otolaryngology with taxonomy code 207YX0007X and a focus in Plastic Surgery within the Head & Neck.
The provider might be accepting Accepts: Medicare, Medicaid, Tricare and Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
