CMS-1500 Box 24J / 33a • NPI
1437165164
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207YX0007X (CMS 04)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck
Box 32 Service Location & ZIP+4
720 N BOND ST, SPRINGFIELD, IL, 62702-4952
✓ 9-Digit EDI 837 ZIP+4 (62702-4952)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1437165164 (BRENDAN CURRAN STACK, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1437165164 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | BRENDAN CURRAN STACK, MD |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck NUCC Code: 207YX0007X (Otolaryngology, Plastic Surgery within the Head & Neck) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 720 N BOND ST, SPRINGFIELD, IL, 62702-4952 |
| Practice Telephone / Fax | Tel: (217) 545-8000 |
| Administrative Mailing Address | 21001 LAKE VISTA DR, ROLAND, AR, 72135-8017 |
| Enumeration & Last Sync | Enumerated: 2006-08-01 | CMS Record Updated: 2020-02-19 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (207YX0007X)
What Does Taxonomy Code 207YX0007X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207YX0007X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BRENDAN CURRAN STACK, MD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Y00000X — OtolaryngologyPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology | State: AR | License: E4564 | Primary: Secondary |
207YS0123X — Otolaryngology, Facial Plastic SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Facial Plastic Surgery | State: AR | License: E4564 | Primary: Secondary |
207YX0007X — Otolaryngology, Plastic Surgery within the Head & NeckPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck | State: AR | License: E-4564 | Primary: Secondary |
207YX0007X — Otolaryngology, Plastic Surgery within the Head & NeckPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck | State: IL | License: 036-151806 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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