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Contact Information

BRIAN W BALANOFF, MD
1318 E 104TH ST
KANSAS CITY, MO64131-4504
 Phone: 816-256-5200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for BRIAN W BALANOFF · (Male)

NPI Number 1841284114
Status Active
Credentials MD
Entity Individual
Enumeration date 09/01/2005
Last updated 03/31/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 01047392
  • KS License # 0431503
  • MO License # 2023043761
  • IN Medicaid 200282380
  • KS Medicaid 200367400A
  • KS Other P00285427 RAILROAD MEDICARE
Hospital affiliation(s)
  • OLATHE MEDICAL CENTER - (Acute Care)
    20333 WEST 151ST STREET
    OLATHE, KS 66061
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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