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Contact Information

BRADY J BANTA, MD
2600 WILSON ST
MILES CITY, MT59301-5094
 Phone: 406-233-2600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
 

Neuroradiology

2085N0700X
 

Nuclear Radiology

2085N0904X
 

Pediatric Radiology

2085P0229X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for BRADY J BANTA · (Male)

NPI Number 1710937156
Status Active
Credentials MD
Entity Individual
Enumeration date 05/10/2006
Last updated 11/27/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # C151246
  • MT License # 10819
  • MT Medicaid 0157488
  • MT Other 000094556 BLUE CROSS
Hospital affiliation(s)
  • BAKERSFIELD MEMORIAL HOSPITAL - (Acute Care)
    420 34TH ST BOX 1888
    BAKERSFIELD, CA 93301
  • FRENCH HOSPITAL MEDICAL CENTER - (Acute Care)
    1911 JOHNSON AVE
    SAN LUIS OBISPO, CA 93401
  • MARIAN REGIONAL MEDICAL CENTER - (Acute Care)
    1400 E CHURCH ST
    SANTA MARIA, CA 93454
  • MERCY HOSPITAL - (Acute Care)
    2215 TRUXTUN AVENUE
    BAKERSFIELD, CA 93301
  • SIERRA VISTA REGIONAL MEDICAL CENTER - (Acute Care)
    1010 MURRAY ST
    SAN LUIS OBISPO, CA 93405
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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