LANNY ROSS BRENT M.D. NPI 1922067743

NPI Information

  • NPI: 1922067743
  • Provider Name: LANNY ROSS BRENT, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 3801 S NATIONAL AVE
    SPRINGFIELD, MO
    ZIP 65807
  • Phone: (417) 269-4056

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NPI Details

Lanny Ross Brent, M.D. is a diagnostic radiology radiology in Springfield, MO. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Lanny Ross Brent, M.D. NPI is 1922067743. 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:

3801 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65807-210
Phone: (417) 269-4056
Fax: (417) 269-5556

The enumeration date for this NPI number is 3/21/2006 and was last updated on 9/4/2009.

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
12085R0202XRadiologyDiagnostic RadiologyR4579MISSOURIYes

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
11256OTHERMISSOURIBLUE
2200479806MEDICAIDMISSOURI
3156871001MEDICAIDARKANSAS
4008010242MEDICARE PINMISSOURI
5300043406OTHERMISSOURIRRR MEDICARE
6A13862MEDICARE UPIN

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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