BRYAN BENGSTON (NPI# 1073166864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073166864 |
| Entity Type | Individual |
| Full Name | BRYAN BENGSTON |
| Practice Address |
624 Sessions Ave Saint Louis MO 63126-1030 |
| Practice Telephone | 3149740416 |
| Mailing Telephone | 3149740416 |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2019-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
2009005829 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
624 SESSIONS AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63126-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639725088 | Shelby Ann Kroeger | Physical Therapist | 29 Ronnie's Plaza, Saint Louis, MO 63126 | 2019-08-12 |
| 1396044186 | Kristin Cassidy | Occupational Therapist | 11660 Eddie and Park Rd, Saint Louis, MO 63126 | 2011-03-21 |
| 1497913347 | Bradley Keith Pugh | Audiologist | 11627 Gravois Road, Midwest Hearing Center, Saint Louis, MO 63126 | 2008-05-28 |
| 1780707034 | William Anthony Taylor Sr. | Dentist | 9730 E Watson Rd, Suite # 1, St. Louis, MO 63126 | 2007-04-09 |
| 1265576904 | Gerda Monika Thalheimer | Dentist | 11627 Gravois Rd, St Louis, MO 63126 | 2007-02-16 |
| 1841347341 | Teralandur K. Parthasarathy | Audiologist | #30 Ronnie's Plaza, St. Louis, MO 63126 | 2007-01-05 |
| 1255402624 | Paul Arthur Lapoint | Optometrist | 11611 Gravois Road, St Louis, MO 63126 | 2006-11-10 |
| 1003998907 | Jeff Thompson | Optometrist | 211 Watson Plaza, St. Louis, MO 63126 | 2006-10-19 |
| 1992802433 | Rc Physician Services, LLC | Family Medicine | 9200 Watson Rd., St Louis, MO 63126 | 2006-09-19 |
| 1386753184 | Cynthia Diane Newell | Social Worker | Personal Potentials Inc., 10000 Watson Rd #2l18, St Louis, MO 63126 | 2006-08-29 |
| Find all providers in zip 63126 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144214065 | Ravi Yadava | Physical Medicine & Rehabilitation | 675 Old Ballas Rd, Suite 210, Saint Louis, MO 63141-7083 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871003301 | Southeast Missouri State University | Physical Medicine & Rehabilitation | 1 University Plz # Ms 0200, Cape Girardeau, MO 63701-4710 | 2017-10-11 |
| 1760627327 | Zachary C Roberts | Physical Medicine & Rehabilitation | Msu Athletic Training Services, 901 S. National Ave., Springfield, MO 65897-0001 | 2008-12-11 |
| 1154939346 | Tara Grace Porter | Physical Medicine & Rehabilitation | 1480 8th St, West Plains, MO 65775-2010 | 2020-07-14 |
| 1184258188 | Jessica Nicole Bledsoe | Physical Medicine & Rehabilitation | 3302 N Woodbine Rd, Saint Joseph, MO 64505-9323 | 2020-02-27 |
| 1073168399 | Logan Prescott | Physical Medicine & Rehabilitation | 3545 S National Ave, Springfield, MO 65807-7310 | 2019-08-04 |
| 1487134722 | Connor Parrish | Physical Medicine & Rehabilitation | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2018-08-16 |
| 1235649211 | Sydni Marie Kaden | Physical Medicine & Rehabilitation | 802 N Riverside Rd Ste 130, Saint Joseph, MO 64507-2508 | 2017-10-04 |
| 1184162414 | Kirstin Arnold | Physical Medicine & Rehabilitation | 3222 W 16th St, Sedalia, MO 65301-2105 | 2017-02-07 |
| 1326466590 | Chelsea Hoggard | Physical Medicine & Rehabilitation | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2014-04-03 |
| 1144519877 | Seth Marcus Oliphant | Physical Medicine & Rehabilitation | 4400 Broadway, Suite 540, Kansas City, MO 64111-3498 | 2011-04-04 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63126 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.