Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRADY J BANTA, M.D.
Active Sole ProprietorDiagnostic Radiology · MILES CITY, MT
Registration Details
- NPI Number
- 1710937156
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2006 (19.947641892342 yrs)
- Last Updated
- Nov 27, 2024
- Licenses
-
10819 (MT)10819 (MT)10819 (MT)10819 (MT)C151246 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2600 WILSON STMILES CITY, MT, 593015094Browse MT providers · Browse ZIP 59301
- Phone
- 4062332600
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Neuroradiology
- Additional Specialty
- 2085N0904X
- Additional Specialty
- Pediatric Radiology
- Additional Specialty
- Diagnostic Radiology
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.