Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN MICHEAL BANTUM, M.D.
ActivePhysical Medicine & Rehabilitation · SPARKS, NV
Registration Details
- NPI Number
- 1578735999
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2008 (18.117196586948 yrs)
- Last Updated
- May 1, 2018
- Licenses
-
PAPERWORK IN PROCESS (NV)14341 (NV)
Practice Information
- Address
-
1055 ROBERTA LN#103SPARKS, NV, 894312809Browse NV providers · Browse ZIP 89431
- Phone
- 7753312600
- Fax
- 7753312605
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Physical Medicine & Rehabilitation
Other Physical Medicine & Rehabilitation Providers in SPARKS, NV
| Name | Credential | NPI |
|---|---|---|
| B FORREST BURKE | MD | 1700865359 |
| LESLIE H TOULOUSE | P.T. | 1851449441 |
| ANDREA MALCHIODI TATRO | MD | 1134319916 |
| LARA AREVALO TYLER | — | 1033574884 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.