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

Bryan Bengston

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1073166864

Bryan Bengston is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2019

Practice location Address checks out

624 Sessions Ave
Saint Louis, MO 63126-1030
Phone: (314) 974-0416
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 2009005829 (MO)

Record details

NPI number1073166864
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 20, 2019
Last updated in NPPESJuly 20, 2019
Mailing address624 Sessions Ave, Saint Louis, MO 63126-1030

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