NPI 1578735999

Brian Micheal Bantum, MD

Practitioner Physical Medicine & Rehabilitation Physician Sparks, NV

Practice location

Address: 1055 Roberta Ln #103, Sparks, NV 89431-2809
Phone: (775) 331-2600
Fax: (775) 331-2605

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 14341 (NV)

Other Physical Medicine & Rehabilitation providers in Nevada →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X Licence PAPERWORK IN PROCESS (NV)

Other Student in an Organized Health Care Education/Training Program providers in Nevada →

Registry record

NPI: 1578735999
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Mar 2008
Record last updated: 1 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.