Bryan Michael Mistretta, DO
Colon & Rectal Surgery Physician · Springfield, IL
Practice location
315 W Carpenter StSpringfield, IL 62702-4901
- Phone
- (217) 545-8000
- Fax
- (217) 545-0952
NPI record
- NPI
- 1932722006
- Entity type
- Individual (Type 1)
- Enumeration date
- May 25, 2020
- Last updated
- August 7, 2026
- Certified
- August 7, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Colon & Rectal Surgery Physician Primary | 208C00000X |
036174964 | IL |
| Surgery Physician | 208600000X |
125076122 | IL |
Mailing address
PO Box 19638Springfield, IL 62794-9638
Other practice locations (1)
- 701 N 1st St Ste D327, Springfield, IL 62702-3757 · (217) 545-8444
About Dr. Mistretta
Bryan Michael Mistretta, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Colon & Rectal Surgery Physician (code 208C00000X). The practice location is 315 W Carpenter St, Springfield, IL 62702-4901. The NPI number 1932722006 was assigned on May 25, 2020 and the record was last updated on August 7, 2026.
Dr. Mistretta lists 2 licenses in the registry: #036174964 (IL) for Colon & Rectal Surgery Physician; #125076122 (IL) for Surgery 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 Michael Mistretta, DO?
The NPI number is 1932722006.
What is the phone number of Dr. Mistretta?
The phone number listed for the practice location is (217) 545-8000.
Where is Dr. Mistretta located?
315 W Carpenter St, Springfield, IL 62702-4901.
What is the taxonomy code for Dr. Mistretta?
The primary taxonomy code is 208C00000X – Colon & Rectal Surgery Physician; 1 more listed above.
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.
Other Colon & Rectal Surgery Physician providers in Springfield
- Imran Hassan, M.D.315 W Carpenter St
- Peter M.C. Hofmann, M.D.900 N 1st St
- Jac Alan Cooper Jr., M.D.900 N 1st St
- Brad Paris, M.D.900 N 1st St
- Kelly Marie Fening, DO315 W Carpenter St
- Jan Rakinic, M.D.315 W Carpenter St
- Adam Maerz, MD701 N 1st St Ste D327
- James W. Thiele, M.D.900 N. 1st Street
- Paul Evan Pacheco, M.D.900 N 1st St
- Venkateswara P. Poola, MBBS315 W Carpenter St
- Elizabeth Dawn Woodward, M.D.900 N 1st St
All Colon & Rectal Surgery Physician providers in Springfield, IL →