Individual provider · Type 1 NPI

Bryan Michael Mistretta, DO

Colon & Rectal Surgery Physician · Springfield, IL

NPI number 1932722006 Active

Practice location

315 W Carpenter St
Springfield, IL 62702-4901

Call (217) 545-8000 Map

Fax (217) 545-0952

Mailing address

PO Box 19638
Springfield, IL 62794-9638

Other practice locations

  • 701 N 1st St Ste D327, Springfield, IL 62702-3757 · (217) 545-8444

Specialties and licenses

TaxonomyCodeLicense
Colon & Rectal Surgery Physician Primary 208C00000X036174964 (IL)
Surgery Physician 208600000X125076122 (IL)

Colon & Rectal Surgery Physician: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

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About NPI 1932722006

Bryan Michael Mistretta, DO's National Provider Identifier is 1932722006, issued on May 25, 2020. The primary taxonomy on file is Colon & Rectal Surgery Physician (208C00000X), and the practice location is in Springfield, IL. The record was last updated on Aug 7, 2026.