Individual provider Active NPI

Brady J Banta, M.D.

  • Diagnostic Radiology Physician
  • Miles City, MT
National Provider Identifier
1710937156
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
10819 Issued in MT
Practice address
2600 Wilson St
Miles City, MT 59301-5094
Phone
(406) 233-2600
NPI assigned
May 10, 2006
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 10819 MT
Neuroradiology Physician 2085N0700X 10819 MT
Nuclear Radiology Physician 2085N0904X 10819 MT
Pediatric Radiology Physician 2085P0229X 10819 MT
Diagnostic Radiology Physician 2085R0202X C151246 CA
Diagnostic Radiology Physician 2085R0202X 10819 MT Primary
Vascular & Interventional Radiology Physician 2085R0204X 10819 MT
Diagnostic Ultrasound Physician 2085U0001X 10819 MT

Addresses

Primary practice location

2600 Wilson St
Miles City, MT 59301-5094

Mailing address

PO Box 580
Miles City, MT 59301-0580
Phone (406) 853-3018

Other practice location 1

1600 Esplanade Ste C
Chico, CA 95926-3369
Phone (530) 332-4470

Other identifiers 2

IdentifierTypeStateIssuer
000094556OtherMTBLUE CROSS
0157488MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171206003459 CA Practitioner - Diagnostic Radiology 3577575281 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas a & M University System, HSC, College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians
Kern Radiology Medical Group IncGroup PAC ID 7214826460, 94 clinicians

Practice addresses (Care Compare)

1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 332-4470

2301 Bahamas Dr
Bakersfield, CA 93309-0663
Phone (661) 326-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40
Cost
77.19

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10819MTMDBody Imaging Physician
C151246CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magnetic Resonance Imaging of San Luis Obispo, Inc. Diagnostic Radiology CurrentSince Aug 3, 2020 Accepting new patients
San Joaquin Community Hospital CurrentSince May 23, 2020 Accepting new patients
Seven Star Hospital Associates Inc. Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Adventist Health Delano CurrentSince May 23, 2020 Accepting new patients
Ukiah Adventist Hospital Diagnostic Radiology CurrentSince Jun 25, 2020 Accepting new patients
Radiology Associates of San Luis Obispo, a Medical Group Inc Diagnostic Radiology CurrentSince May 29, 2024 Accepting new patients
Reedley Community Hospital CurrentSince Apr 21, 2022 Accepting new patients
Los Angeles Radiology Medical Associates, Inc. Nuclear Radiology CurrentSince Aug 13, 2020 Accepting new patients
Enloe Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Hanford Community Hospital CurrentSince Dec 17, 2021 Accepting new patients
Adventist Health Delano Current Accepting new patients
Ukiah Adventist Hospital CurrentSince Jun 25, 2020 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Aug 1, 2025 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince May 1, 2018 Accepting new patients
Reedley Community Hospital CurrentSince Apr 21, 2022 Accepting new patients
Radiology Medical Group of WMMC Body Imaging CurrentSince Nov 1, 2020 Accepting new patients
Washington Radiologists Medical Group, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Fullerton Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Enloe Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Southwest Medical Associates Inc. Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Hanford Medical Associates, Inc. Past Accepting new patients
Truxtun Radiology Medical Group, L.P. PastSince Jun 1, 2010 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Pueblo Radiology Medical Group Inc Diagnostic Radiology PastSince Mar 6, 2020 Accepting new patients
Mercy Health - West Hospital LLC Past Accepting new patients

Locations (25 of 28)

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

2301 Bahamas Dr
Bakersfield, CA 93309

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

4500 Morning Dr
Ste 202
Bakersfield, CA 93306
Phone (661) 326-6900

9900 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 616-6306

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

15370 Fairfield Ranch Rd
#B2
Chino Hills, CA 91709
Phone (800) 723-6186

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

531 W College St
Los Angeles, CA 90012
Phone (213) 268-5000

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

5974 Pentz Rd
Paradise, CA 95969
Phone (530) 872-2000

1301 N Rose Dr
Placentia, CA 92870
Phone (714) 524-4252

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

1310 Las Tablas Rd
Ste 103
Templeton, CA 93465
Phone (805) 434-0829

322 Posada Ln
Ste B
Templeton, CA 93465
Phone (805) 591-3344

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 27

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1710937156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593010580",
            "telephone_number": "406-853-3018",
            "fax_number": "406-234-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WILSON ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593015094",
            "telephone_number": "406-233-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Esplanade Ste C",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959263369",
            "country_code": "US",
            "telephone_number": "530-332-4470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANTA",
        "first_name": "BRADY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MT",
            "license": "10819",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MT",
            "license": "10819",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "MT",
            "license": "10819",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "MT",
            "license": "10819",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C151246",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "10819",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MT",
            "license": "10819",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "MT",
            "license": "10819",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000094556",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157488",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

Verify at the official NPI Registry.