Individual
DR. BRIAN W. BALANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1318 E 104TH ST, KANSAS CITY, MO 64131-4504
(816) 256-5200
Mailing address
14613 FARLEY ST, OVERLAND PARK, KS 66221-9672
(913) 907-7316
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01047392
IN
207L00000X
Anesthesiology Physician
Primary
0431503
KS
207L00000X
Anesthesiology Physician
2023043761
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200282380
—
IN
05
—
200367400A
—
KS
01
—
P00285427
RAILROAD MEDICARE
KS
Enumeration date
09/01/2005
Last updated
03/31/2026
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