Individual provider · Type 1 NPI

Randall James Brenneman, MD

Radiation Oncology Physician · Springfield, IL

NPI number 1366899841 Active

Practice location

701 North 1st Street Radiation Oncology
Springfield, IL 62781-1032

Fax (314) 747-9557

Mailing address

4921 Parkview Pl, Dept Radiation Oncology, Ll
St. Louis, MO 63110-1032

Other practice locations

  • 326 Fountains Pkwy, Fairview Heights, IL 62208-2041 · (618) 277-3109
  • 12855 N 40 Dr Ste Ll, St. Louis, MO 63141-8663 · (314) 567-6071

Specialties and licenses

TaxonomyCodeLicense
Radiation Oncology Physician 2085R0001X2021019467 (MO)
Radiation Oncology Physician Primary 2085R0001X036156598 (IL)

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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About NPI 1366899841

Randall James Brenneman, MD's National Provider Identifier is 1366899841, issued on May 16, 2016. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Springfield, IL. The record was last updated on Aug 27, 2026.