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

Renato Bacol Rivera, MD

Individual provider Surgery Physician · NPI 1083612790

Renato Bacol Rivera, MD is a Surgery Physician in Breese, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

9515 Holy Cross Ln Ste 175
Breese, IL 62230-3618
Phone: (618) 526-8430
Fax: (618) 526-7275
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036045712 (IL)

Record details

NPI number1083612790
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESDecember 30, 2021
Certification dateDecember 30, 2021

Other providers in Breese