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

Bryson Richard Ensign, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487356556

Bryson Richard Ensign, DO is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Registered with an NPI since 2023.

In the registry since
2023
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

900 Main St Ste 720
Peoria, IL 61602-5027
Phone: (801) 891-3861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1487356556
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023
Mailing address537 W 1420 N Apt 102, Logan, UT 84341-7035

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