Individual provider · Type 1 NPI

Travis Bruce Banta, MD

Diagnostic Radiology Physician · Baton Rouge, LA

NPI number 1265964548 Active

Practice location

5000 Hennessy Blvd
Baton Rouge, LA 70808

Fax (225) 763-9997

Mailing address

8230 Summa Ave Ste C
Baton Rouge, LA 70809-3465

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X91576 (GA)
Diagnostic Radiology Physician 2085R0202XT-3287 (MS)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202X331083 (LA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1265964548

Travis Bruce Banta, MD's National Provider Identifier is 1265964548, issued on Mar 28, 2017. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Baton Rouge, LA. The record was last updated on Oct 20, 2022.