Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932722006 Individual Practitioner Male Practitioner

Dr. Bryan Michael Mistretta , DO

Colon & Rectal Surgery • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Mistretta, DO is a registered healthcare professional specializing in Colon & Rectal Surgery in Springfield, IL. Practice services are available at 315 W CARPENTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

315 W Carpenter St

Springfield, IL 627024901

Telephone 2175458000
Fax 2175450952
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.9 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
13 Specialists

Practicing in Springfield, IL (99 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-07
Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License IL 036174964

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Surgery

NUCC Taxonomy Code: 208600000X

State License IL 125076122

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Practice Locations

701 N 1st St Ste D327

Springfield, IL 627023757

Phone: 2175458444

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amanda Henson , LCSW

Social Worker - Clinical

NPI 1003247115

Licensed Clinical Social Worker

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Jerry Priddy , PA-C

Physician Assistant

NPI 1003351115

Physician Assistant (Certified)

Dr. Ashley Mohan , DO

Internal Medicine - Hematology & Oncology

NPI 1003377565

Doctor of Osteopathic Medicine (D.O.)

Dr. Linda Ponce Rosas , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1003501065

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 07, 2026

Registered at 315 W CARPENTER ST, SPRINGFIELD, IL 627024901 (Tel: 2175458000)

📍
Updated Practice Location July 31, 2025

Registered at 701 N 1ST ST STE D327, SPRINGFIELD, IL 627023757 (Tel: 2175458444)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2025

Colon & Rectal Surgery (License #036174964 in IL)

NPI Profile Active May 25, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2020

Registered at 701 N 1ST ST STE D308, SPRINGFIELD, IL 627023757 (Tel: 2175454401)

📍
Updated Business Mailing Address May 25, 2020

Registered at PO BOX 19638, SPRINGFIELD, IL 627949638

👤
Provider Name / Credentials Updated May 25, 2020

Recorded as BRYAN MISTRETTA, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2020

Surgery (License #125076122 in IL)

🟢
Initial NPI Registration & Enumeration May 25, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932722006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2020
Last Update: August 07, 2026
Sole Proprietor: No

Mailing Address

Po Box 19638

Springfield, IL 627949638

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.