Bryan Bengston

Sports Medicine (Physical Medicine & Rehabilitation) Physician · Saint Louis, MO

Individual Active NPI

NPI number 1073166864

Practice location

624 Sessions Ave
Saint Louis, MO 63126-1030
Phone
(314) 974-0416

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NPI record

NPI
1073166864
Entity type
Individual (Type 1)
Enumeration date
July 20, 2019
Last updated
July 20, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary 2081S0010X 2009005829 MO

About Bryan Bengston

Bryan Bengston is a healthcare provider registered in the NPI registry with the primary taxonomy Sports Medicine (Physical Medicine & Rehabilitation) Physician (code 2081S0010X). The practice location is 624 Sessions Ave, Saint Louis, MO 63126-1030. The NPI number 1073166864 was assigned on July 20, 2019 and the record was last updated on July 20, 2019.

Bryan Bengston lists a license in the registry: #2009005829 (MO) for Sports Medicine (Physical Medicine & Rehabilitation) Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bryan Bengston?

The NPI number is 1073166864.

What is the phone number of Bryan Bengston?

The phone number listed for the practice location is (314) 974-0416.

Where is Bryan Bengston located?

624 Sessions Ave, Saint Louis, MO 63126-1030.

What is the taxonomy code for Bryan Bengston?

The primary taxonomy code is 2081S0010X – Sports Medicine (Physical Medicine & Rehabilitation) Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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