Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brant Barry Hafen, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316407828

Brant Barry Hafen, DO is an Internal Medicine in Las Vegas, Nevada. Graduated from Alabama College of Osteopathic Medicine in 2019, 7 years ago. Practices with Intermountain Medical Group Denver LLC, a 567-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Nevada.

Years since qualifying
7
Trained at
Alabama College of Osteopathic Medicine
Licensed in
CO, NV
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2704 N Tenaya Way
Las Vegas, NV 89128-0424
Phone: (702) 877-5199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DO3209 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TL000---- (CO)

Record details

NPI number1316407828
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolALABAMA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Intermountain Medical Group Denver Llc — 567 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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