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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRYAN BENGSTON

Active Sole Proprietor

BRYAN BENGSTON is a Sports Medicine (PM&R) healthcare provider located in SAINT LOUIS, Missouri. NPI 1073166864 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · SAINT LOUIS, MO

Registration Details

NPI Number
1073166864
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2019 (7.0241441131305 yrs)
Last Updated
Jul 20, 2019
License
2009005829 (MO)
Sole Proprietor
Yes

Practice Information

Address
624 SESSIONS AVE
SAINT LOUIS, MO, 631261030
Browse MO providers · Browse ZIP 63126
Phone
3149740416
Primary Specialty
Sports Medicine (PM&R)
2081S0010X

Other Sports Medicine (PM&R) Providers in SAINT LOUIS, MO

Name Credential NPI
RAVI YADAVA D.O. 1144214065
ANDREW TANOUS 1508549361
JULIE SCHLOSS PT 1508637596
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.