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

Individual provider Colon & Rectal Surgery Physician · NPI 1932722006

Bryan Michael Mistretta, DO is a Colon & Rectal Surgery Physician in Springfield, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
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

315 W Carpenter St
Springfield, IL 62702-4901
Phone: (217) 545-8000
Fax: (217) 545-0952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 036174964 (IL)
Surgery Physician Taxonomy 208600000X · Licence 125076122 (IL)

Record details

NPI number1932722006
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 25, 2020
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing addressPo Box 19638, Springfield, IL 62794-9638

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