Individual provider Active NPI

Brent Joseph Lanier, M.D.

  • Otolaryngology Physician
  • Fresno, CA
National Provider Identifier
1447219720
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G50104 Issued in CA
Practice address
1351 E Spruce Ave
Fresno, CA 93720
Phone
(559) 432-3303
Fax
(559) 432-1468
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G50104 CA Primary

Addresses

Primary practice location

1351 E Spruce Ave
Fresno, CA 93720

Mailing address

1351 E Spruce Ave
Fresno, CA 93720-3342
Phone (559) 432-3303

Other identifiers 2

IdentifierTypeStateIssuer
040003646OtherCARAILROAD MEDICARE
00G501040MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090203000373 CA Practitioner - Otolaryngology 3375563836 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G50104CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Calif ENT Medical Group Otolaryngology CurrentSince Mar 22, 1996 Accepting new patients
ENT Facial Surgery Center LLC PastSince Mar 1, 1991 Accepting new patients

Locations

1351 E Spruce Ave
Fresno, CA 93720
Phone (559) 432-3303

202 W Willow Ave
Ste 405
Visalia, CA 93291
Phone (559) 622-8500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1447219720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 E SPRUCE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203342",
            "telephone_number": "559-432-3303",
            "fax_number": "559-432-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 E SPRUCE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-432-3303",
            "fax_number": "559-432-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER",
        "first_name": "BRENT",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G50104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040003646",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G501040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.