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JUSTIN BANGHART PHYSICIAN ASSISTANT
NPI 1346888088
Physician Assistant in Pafb, CO

Active since December 12, 2019
21ST MDG 559 VINCENT ST, PAFB, CO 80914(719) 556-5898 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin Banghart Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN BANGHART PHYSICIAN ASSISTANT (NPI 1346888088) is an individual physician assistant in Pafb, Colorado, licensed in (1164974) and active in the NPI registry since December 2019. He maintains a secondary practice location in Glendale.

NPPES Registry Identity

NPI1346888088
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUSTIN BANGHARTCredential: PHYSICIAN ASSISTANT
Location Address21ST MDG 559 VINCENT STPafb, CO 80914-1540
Mailing Address559 Vinvent StPeterson Space Force Base, CO 80914 · (719) 556-7019
Phone(719) 556-5898
Sole ProprietorNo
Enumeration DateDecember 12, 2019
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 22, 2022
✔ NPI 1346888088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · 1164974
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
21ST MDG 559 VINCENT ST, Pafb, CO 80914
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Secondary Practice Location 1

Location 17219 N Litchfield RdGlendale, AZ 85309-1529 · Phone (623) 856-6127

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Banghart's NPI number?

The NPI number for Justin Banghart is 1346888088. It was assigned to this individual provider in the NPPES registry on December 12, 2019.

Where is Justin Banghart located?

Justin Banghart practices at 21st Mdg 559 Vincent St, Pafb, CO 80914. The listed phone number is (719) 556-5898.

What is Justin Banghart's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Justin Banghart was last updated on June 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.