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

Travis Bruce Banta, MD

Individual provider Diagnostic Radiology Physician · NPI 1265964548

Travis Bruce Banta, MD is a Diagnostic Radiology in Baton Rouge, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2017, 9 years ago. Practices with Radiology Associates LLC, a 81-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia, Louisiana and Mississippi.

Years since qualifying
9
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
GA, LA, MS
In the registry since
2017
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone: (225) 757-0552
Fax: (225) 763-9997
Show map & directions

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

Additional practice locations (3)

  • 1364 Clifton Rd Ne, Atlanta, GA 30322-4500 — (404) 778-9729
  • 100 Womans Way, Baton Rouge, LA 70817 — (225) 757-0552
  • 2500 N State St, Jackson, MS 39216-4500 — (601) 815-1779

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 331083 (LA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 91576 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence T-3287 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265964548
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 28, 2017
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022
Mailing address8230 Summa Ave Ste C, Baton Rouge, LA 70809-3465

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2017 (9 years in practice)
Group practice Radiology Associates Llc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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