IndividualActive
Bevan Bastian, MD
NPI 1821098088 · Diagnostic Radiology Physician · Gunnison, UT
Provider details
- NPI number
- 1821098088
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 187675-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Po Box 759
Gunnison, UT 84634-0759
Phone: (435) 528-7246
Approximate (ZIP-level) locationGet directions
Mailing address
Hc 64 Box 21120
Axtell, UT 84621-5505
Registry dates
- Enumerated
- 2005-07-28
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.