Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN MICHAEL MISTRETTA, DO
ActiveColon & Rectal Surgery · SPRINGFIELD, IL
Registration Details
- NPI Number
- 1932722006
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2020 (5.9065421834204 yrs)
- Last Updated
- Jul 31, 2025
- Licenses
-
036174964 (IL)125076122 (IL)
Practice Information
- Address
-
701 N 1ST ST STE D327SPRINGFIELD, IL, 627023757Browse IL providers · Browse ZIP 62702
- Phone
- 2175458444
- Fax
- 2175457762
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
- Additional Specialty
- General Surgery
Other Colon & Rectal Surgery Providers in SPRINGFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| JAN RAKINIC | M.D. | 1457348401 |
| IMRAN HASSAN | M.D. | 1023088978 |
| DR. DAVID B STEWART SR. | M.D. | 1205930484 |
| PETER M.C. HOFMANN | M.D. | 1043317373 |
| DR. JAMES W. THIELE | M.D. | 1659465813 |
| BRAD PARIS | M.D. | 1205057254 |
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.