DR. BRIAN MICHEAL BANTUM (NPI# 1578735999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578735999 |
| Entity Type | Individual |
| Full Name | DR. BRIAN MICHEAL BANTUM |
| Credential | M.D. |
| Practice Address |
1055 Roberta Ln #103 Sparks NV 89431-2809 |
| Practice Telephone | 7753312600 |
| Practice Fax Number | 7753312605 |
| Mailing Telephone | 7753312600 |
| Mailing Fax Number | 7753312605 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2018-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 14341 | NV | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | PAPERWORK IN PRO | NV | Student, Health Care |
| Street Address |
1055 ROBERTA LN #103 |
| City | SPARKS |
| State | NV |
| Zip Code | 89431-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740348143 | Silver State Spinecare Forrest Burke Md A Professional Corp | Physical Medicine & Rehabilitation | 1055 Roberta Ln, 103, Sparks, NV 89431-1893 | 2006-12-05 |
| 1437565744 | Child and Adolescent Mental Health Psychiatric Services | Case Management | 1055 Roberta Ln, Sparks, NV 89431-2809 | 2014-07-08 |
| 1548526023 | Child and Adolescent Mental Health Psychiatric Services | Rehabilitation Counselor | 1055 Roberta Ln, Sparks, NV 89431-2809 | 2012-04-09 |
| 1134319916 | Andrea Malchiodi Tatro | Physical Medicine & Rehabilitation | 1055 Roberta Ln, Suite103, Sparks, NV 89431-1893 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958033 | Jerome Johnson II | Behavioral Analyst | 3115 Saltern Way, Sparks, NV 89431 | 2019-12-09 |
| 1528520640 | Dynisha Bernee Richardson | Technician, Other | 616 Victorian Ave, Sparks, NV 89431 | 2019-04-05 |
| 1902376494 | Avalon Care Center-va Reno, LLC | Skilled Nursing Facility | 36 Battle Born Way, Sparks, NV 89431 | 2018-11-28 |
| 1669964128 | Abraham A Arellano | Behavioral Analyst | 2005 Probasco Way, Sparks, NV 89431 | 2018-05-31 |
| 1003335399 | Carresa Greer | Counselor | 390 Freeport Blvd #3, Sparks, NV 89431 | 2017-09-18 |
| 1689197444 | Fred Blauth Jr. | Counselor | 2105 Sullivan Ln, Sparks, NV 89431 | 2017-07-24 |
| 1548719255 | Adolescent Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 480 Galetti Way, Sparks, NV 89431 | 2016-09-23 |
| 1124478862 | Kristina Schneider | Behavioral Analyst | 3230 Wedekind Rd, 50, Sparks, NV 89431 | 2016-06-14 |
| 1336506898 | Rikki Texter | Occupational Therapy Assistant | 1025 Robert Lane, Sparks, NV 89431 | 2016-01-28 |
| 1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
| Find all providers in zip 89431 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574884 | Lara Arevalo Tyler | Physical Medicine & Rehabilitation | 350 Harbour Cove Dr Apt 208, Sparks, NV 89434-7866 | 2015-12-21 |
| 1851449441 | Leslie H Toulouse | Physical Medicine & Rehabilitation | 1400 Baring Blvd, Sparks, NV 89434-1642 | 2007-01-08 |
| 1740348143 | Silver State Spinecare Forrest Burke Md A Professional Corp | Physical Medicine & Rehabilitation | 1055 Roberta Ln, 103, Sparks, NV 89431-1893 | 2006-12-05 |
| 1649373556 | Reno Orthopaedic Clinic Inc | Physical Medicine & Rehabilitation | 2385 E Prater Way Ste 307, Sparks, NV 89434-9638 | 2006-09-06 |
| 1134319916 | Andrea Malchiodi Tatro | Physical Medicine & Rehabilitation | 1055 Roberta Ln, Suite103, Sparks, NV 89431-1893 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
| 1578176889 | Harmony Medicall Spine Sports & Pain Pllc | Physical Medicine & Rehabilitation | 9030 W Sahara Ave # 223, Las Vegas, NV 89117-5744 | 2020-08-26 |
| 1811515786 | Paige Clapper | Physical Medicine & Rehabilitation | 6424 Losee Rd Ste 120, North Las Vegas, NV 89086-0102 | 2020-07-08 |
| 1205456803 | Bernard Miller | Physical Medicine & Rehabilitation | 3645 El Camino Rd, Las Vegas, NV 89103-1102 | 2020-04-23 |
| 1265085161 | Ali Nairizi Md PC | Physical Medicine & Rehabilitation | 1470 Medical Pkwy Ste 240, Carson City, NV 89703-4647 | 2019-07-19 |
| 1457911364 | Basic Healing LLC | Physical Medicine & Rehabilitation | 1466 Verde Triandos Dr, Henderson, NV 89012-4427 | 2019-06-13 |
| 1346808441 | Zenith Recovery LLC | Physical Medicine & Rehabilitation | 2915 W Charleston Blvd Ste 120, Las Vegas, NV 89102-1974 | 2019-06-03 |
| 1811477409 | Abubaker Physiatry Pllc | Physical Medicine & Rehabilitation | 2900 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-5014 | 2018-08-14 |
| 1518470822 | Duncan Timothy Secor | Physical Medicine & Rehabilitation | 620 S 12th St Ste 110, Elko, NV 89801-4010 | 2017-11-08 |
| 1457804239 | Saint Don Niel Bautista Reyes | Physical Medicine & Rehabilitation | 9755 Beach Rose Ct, Las Vegas, NV 89148-5734 | 2016-07-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. BRIAN MICHEAL BANTUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.