Individual
DR. MATTHEW BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
(417) 269-6583
(417) 269-6573
Mailing address
PO BOX 7411626, CHICAGO, IL 60674-5626
(417) 269-6583
(417) 269-6573
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2001001463
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710974118
—
MO
05
—
206006603
—
MO
Enumeration date
09/30/2005
Last updated
02/23/2026
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