Active NPI
Brent Joseph Lanier, M.D.
- Otolaryngology Physician
- Fresno, CA
National Provider Identifier
1447219720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G50104
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040003646 | Other | CA | RAILROAD MEDICARE |
| 00G501040 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G50104 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Calif ENT Medical Group | Otolaryngology | Current | Accepting new patients |
| ENT Facial Surgery Center LLC | Past | 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.
-
- Plastic Surgery Physician
- Fresno, CA
- NPI 1083673842
CA, Otolaryngology
-
- Ambulatory Surgical Clinic/Center
- Fresno, CA
- NPI 1841259694
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.