Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Brian Micheal Bantum, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578735999

Dr. Brian Micheal Bantum, MD is a Physical Medicine and Rehabilitation in Sparks, Nevada. Qualified in 2008, 18 years ago. Practices with Robert G Berry Jr Ltd, a 5-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
18
Licensed in
NV
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1055 Roberta Ln #103
Sparks, NV 89431-2809
Phone: (775) 331-2600
Fax: (775) 331-2605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 14341 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PAPERWORK IN PROCESS (NV)

Record details

NPI number1578735999
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2008
Last updated in NPPESMay 1, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesINTERVENTIONAL PAIN MANAGEMENT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Robert G Berry Jr Ltd — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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