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Contact Information

BRYAN BENGSTON
624 SESSIONS AVE
SAINT LOUIS, MO63126-1030
 Phone: 314-974-0416
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BRYAN BENGSTON · (Male)

NPI # 1073166864
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2019
Last updated 07/20/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2009005829
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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