Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Bottke, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1447879432

Brian Bottke, DO is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Licensed in Iowa. Registered with an NPI since 2020.

Licensed in
IA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence DO-06298 (IA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1447879432
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 10, 2020
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing address1825 Logan Ave, Waterloo, IA 50703-1916

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