DR. BRIAN MICHEAL BANTUM (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1578735999

DR. BRIAN MICHEAL BANTUM (M.D.) is a healthcare provider. based in Sparks, Nevada. specializing in PHYSICAL MEDICINE AND REHABILITATION, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. PAPERWORK IN PROCESS (NV). The NPI Number for DR. BRIAN MICHEAL BANTUM (M.D.) is 1578735999

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN MICHEAL BANTUM (M.D.)
NPI
1578735999
Phone
(775) 331-2600
Address
1055 ROBERTA LN
Enumeration Date
25 March 2008
Last Update Date
1 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7754489422
Graduation Year
2008 (18 years ago)
PAC ID
5496901092
Group Practice PAC ID
2466488903
Professional Enrollment ID
I20120815000167
Address ID
NV895096136RE6630XBLVD404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

130 PHYSICAL MEDICINE AND REHABILITATION in NV

Loading map...

Provider Addresses for DR. BRIAN MICHEAL BANTUM (M.D.)

  • 1055, Roberta Lane, Sparks, Washoe County, Nevada, 89431, United States

    #103

    SPARKS, NV 894312809

    Phone: (775) 331-2600

    Fax: (775) 331-2605

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $174.

Total Amount is formed as General ($174) + Research ($0) + Ownership ($0) = $174.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($109).

Total Amount

$174

General + Research + Ownership

Payments

6

Total payment records

General Amount

$174

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120815000167IPhysical Medicine And RehabilitationNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes25290$0
95886Needle measurement of electrical activity in arm or leg muscles, complete study10658$0
99214Established patient office or other outpatient visit, 30-39 minutes8953$0
99204New patient office or other outpatient visit, 45-59 minutes6666$0
20553Injection of trigger points, 3 or more muscles5421$0
View full utilization report →

Insurance plans in this area (ZIP 89431)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466488903View full group profile
NameSpecialtyState
Pain Management, Physical Medicine And RehabilitationNV
Physical Medicine And RehabilitationNV
-NV
Physical Medicine And Rehabilitation, Sports MedicineNV

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does DR. BRIAN MICHEAL BANTUM (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. BRIAN MICHEAL BANTUM (M.D.) uses 1578735999.
Is DR. BRIAN MICHEAL BANTUM (M.D.) listed as active for patients and plans?
The listing shows DR. BRIAN MICHEAL BANTUM (M.D.) as active in the NPI system.
What is DR. BRIAN MICHEAL BANTUM (M.D.)'s primary classification?
Physical Medicine & Rehabilitation Physician is the headline specialty for DR. BRIAN MICHEAL BANTUM (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. BRIAN MICHEAL BANTUM (M.D.) based?
DR. BRIAN MICHEAL BANTUM (M.D.) is tied to Sparks, Nevada in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

B FORREST BURKE (MD)

Physical Medicine & Rehabilitation Physician
1055, Roberta Lane, Sparks, Washoe County, Nevada, 89431, United States
NPI: 1700865359

Unknown Individual

Physical Medicine & Rehabilitation Physician
2385 E PRATER WAY STE 307
NPI: 1649373556

Unknown Individual

Physical Medicine & Rehabilitation Physician
207, East Prater Way, Sparks, Washoe County, Nevada, 89431, United States
NPI: 1720170475

Silver State Spinecare

Physical Medicine & Rehabilitation Physician
1055, Roberta Lane, Sparks, Washoe County, Nevada, 89431, United States
NPI: 1740348143

LESLIE H TOULOUSE (P.T.)

Physical Medicine & Rehabilitation Physician
North McCarran Boulevard, Reno, Washoe County, Nevada, 89512, United States
NPI: 1851449441

ANDREA MALCHIODI TATRO (MD)

Physical Medicine & Rehabilitation Physician
PO BOX 51210
NPI: 1134319916

Nevada Advanced Pain Specialists

Physical Medicine & Rehabilitation Physician
2385 E Prater Way Ste 204
NPI: 1619101045

LARA AREVALO TYLER

Physical Medicine & Rehabilitation Physician
350 HARBOUR COVE DR APT 208
NPI: 1033574884

COURTNEY UNGER (PTA)

Physical Medicine & Rehabilitation Physician
6668 Owens Dr
NPI: 1326670282