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

Justin Banghart, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1346888088

Justin Banghart, PHYSICIANASSISTANT is a Physician Assistant in Pafb, Colorado. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

21ST Mdg 559 Vincent St
Pafb, CO 80914-1540
Phone: (719) 556-5898
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7219 N Litchfield Rd, Glendale, AZ 85309-1529 — (623) 856-6127

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1164974

Record details

NPI number1346888088
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedDecember 12, 2019
Last updated in NPPESJune 30, 2022
Certification dateJune 22, 2022