IndividualActive
Bryan Mistretta, DO
NPI 1932722006 · Colon & Rectal Surgery Physician · Springfield, IL
Provider details
- NPI number
- 1932722006
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 036174964 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
701 N 1st St Ste D327
Springfield, IL 62702-3757
Phone: (217) 545-8444
Fax: (217) 545-7762
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 19638
Springfield, IL 62794-9638
Registry dates
- Enumerated
- 2020-05-25
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.