DR. BRENDON DELPORT DO NPI 1194721100

NPI Information

  • NPI: 1194721100
  • Provider Name: DR. BRENDON DELPORT, DO
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2828 N NATIONAL AVE
    SPRINGFIELD, MO
    ZIP 65803
  • Phone: (417) 837-4003

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NPI Details

DR. Brendon Delport, DO is an ophthalmology in Springfield, MO. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Brendon Delport, DO NPI is 1194721100. 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:

2828 N NATIONAL AVE
SPRINGFIELD, MO
ZIP 65803-306
Phone: (417) 837-4003
Fax: (417) 875-4782

The NPI 1194721100 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2005 and was last updated on 6/16/2011.

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
1207W00000XOphthalmology2004008249MISSOURIYes

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
1209165604MEDICAIDMISSOURI
21194721100MEDICAIDMISSOURI
3P00261949OTHERRR MEDICARE
4I00715MEDICARE UPIN
5927275115MEDICARE ID-TYPE UNSPECIFIED
6MA1327006MEDICARE PINMISSOURI

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: 11/21/2025

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