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KEVIN BANTUM
NPI 1992342331
Counselor - Addiction (Substance Use Disorder) in Brooklyn, NY

Active since December 04, 2019
1041 BERGEN ST, BROOKLYN, NY 11216(718) 771-0760 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin Bantum NPPES

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

KEVIN BANTUM (NPI 1992342331) is an individual addiction (substance use disorder) provider in Brooklyn, New York and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1992342331
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEVIN BANTUM
Location Address1041 BERGEN STBrooklyn, NY 11216-3307
Mailing Address1041 Bergen StBrooklyn, NY 11216-3307
Phone(718) 771-0760
Sole ProprietorYes
Enumeration DateDecember 4, 2019
✔ NPI 1992342331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1041 BERGEN ST, Brooklyn, NY 11216
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Other Identifiers 1

Medicaid00004567NY

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDGARDO SANCHEZ BA, CASAC
Counselor (Addiction (Substance Use Disorder))
1041 BERGEN ST
BROOKLYN, NY 11216
Kings County (718) 771-0760
MR. BARETTE ANDREW
Counselor (Addiction (Substance Use Disorder))
1041 BERGEN ST
BROOKLYN, NY 11216
Kings County (718) 777-0690
VINCENT MARCHESE
Counselor (Addiction (Substance Use Disorder))
1041 BERGEN ST
BROOKLYN, NY 11216
Kings County (718) 771-0760
GINO RODRIGUEZ
Counselor (Addiction (Substance Use Disorder))
1041 BERGEN ST
BROOKLYN, NY 11216
Kings County (718) 771-0760
MR. JOSEPH DANIEL MERITT JR. CRPA
Peer Specialist
1041 BERGEN ST
BROOKLYN, NY 11216
Kings County (917) 618-0689
PATRICK FLUGGER
Counselor (Addiction (Substance Use Disorder))
1041 BERGEN ST
BROOKLYN, NY 11216
Kings County (718) 771-0760
ADRIENE KNIGHT
Licensed Practical Nurse
1041 BERGEN ST
BROOKLYN, NY 11216
Kings County (718) 771-0760
MR. GARRICK BRIDGEFORTH
Counselor (Addiction (Substance Use Disorder))
1041 BERGEN ST
BROOKLYN, NY 11216
Kings County (718) 771-0760

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 Kevin Bantum's NPI number?

The NPI number for Kevin Bantum is 1992342331. It was assigned to this individual provider in the NPPES registry on December 4, 2019.

Where is Kevin Bantum located?

Kevin Bantum practices at 1041 Bergen St, Brooklyn, NY 11216. The listed phone number is (718) 771-0760.

What is Kevin Bantum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kevin Bantum was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.