Physician Assistant
JUSTIN BANGHART Physician Assistant
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1346888088 · enumerated 2019-12-12 · record updated 2022-06-30. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 21ST MDG 559 VINCENT ST, PAFB, CO, 80914-1540 (719) 556-5898 Google Maps Apple Maps OpenStreetMap
- Mailing address 559 VINVENT ST, PETERSON SPACE FORCE BASE, CO, 80914 (719) 556-7019 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 1164974
In this directory
Locations and evidence
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Practice location
PAFB, CO, 809141540
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.