Individual
BRIAN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 N RUTLEDGE ST, SPRINGFIELD, IL 62702-4968
(217) 545-8000
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036143094
IL
2085R0202X
Diagnostic Radiology Physician
0101259162
VA
2085R0202X
Diagnostic Radiology Physician
53466
TN
2085R0202X
Diagnostic Radiology Physician
ME78629
FL
2085R0204X
Vascular & Interventional Radiology Physician
036143094
IL
2085R0204X
Vascular & Interventional Radiology Physician
53466
TN
2085R0204X
Vascular & Interventional Radiology Physician
ME0078629
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME78629
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104954500
—
FL
05
—
1346248028
—
VA
01
—
300108688
RR MEDICARE
FL
01
—
49358
BCBS OF FLORIDA
FL
01
—
P01707185
RAILROAD MEDICARE
TN
05
—
Q017789
—
TN
01
—
V8168
HFMG
FL
Enumeration date
07/07/2005
Last updated
03/17/2026
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