Brendan Stack, MD
Brendan Stack, MD is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Springfield, IL, registered under NPI 1437165164. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 720 N BOND ST, Springfield, IL 62702. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 036-151806 | IL | Plastic Surgery within the Head & Neck… primary |
| E4564 | AR | Otolaryngology Physician |
| E4564 | AR | Facial Plastic Surgery Physician |
| E-4564 | AR | Plastic Surgery within the Head & Neck… |
Licences are recorded in 2 states: IL, AR. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 2 states
This provider holds licences in 2 states: Arkansas and Illinois. The practice address on file is in Springfield, IL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 036-151806
- Specialty
- Plastic Surgery within the Head & Neck…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Plastic Surgery within the Head & Neck covers
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. NUCC Health Care Provider Taxonomy, code 207YX0007X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician Plastic Surgery within the Head & Neck | 036-151806 | IL | primary |
| 207Y00000X | Otolaryngology Physician | E4564 | AR | |
| 207YS0123X | Facial Plastic Surgery Physician Facial Plastic Surgery | E4564 | AR | |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician Plastic Surgery within the Head & Neck | E-4564 | AR |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1437165164 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 1, 2006 |
| Last updated | Feb 19, 2020 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
720 N BOND ST Springfield, IL 62702 (217) 545-8000 |
| Mailing address |
21001 LAKE VISTA DR Roland, AR 72135 |
| Other identifiers |
T2005-275
· Other (AR) 0507002300 · Other (AR) 5N281 · Other (AR) 5N2817666 · Other E4564 · Other (AR) 158045001 · Medicaid (AR) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 3 | 7 | 1 | 6 | 5 | 1 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 6 | 7 | 2 | 6 | 1 | 1 | 3 |
Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.