BRYAN BENGSTON – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1073166864

Sports Medicine (Physical Medicine & Rehabilitation) Physician

BRYAN BENGSTON is a healthcare provider. based in Saint louis, Missouri. specializing in Sports Medicine (Physical Medicine & Rehabilitation) Physician. They hold a License No. 2009005829 (MO). The NPI Number for BRYAN BENGSTON is 1073166864

Main info

Male

Sole Proprietor

17 Years Of Experience

Accepts Medicare Assignment

Name

BRYAN BENGSTON

NPI

1073166864

Phone

(314) 974-0416

Address

624 SESSIONS AVE

Enumeration Date

20 July 2019

Last Update Date

20 July 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6182335163

Graduation Year

2009 (17 years ago)

PAC ID

5294064416

Group Practice PAC ID

2264423458

Professional Enrollment ID

I20190912001355

Contacts

Main Contact

bengstonbryan@gmail.com

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience26

Completeness85

Years active:6State licenses:1Other namesUpdated within 12 months

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Provider Addresses for BRYAN BENGSTON

624, Sessions Avenue, Crestwood, Saint Louis County, Missouri, 63126, United States
SAINT LOUIS, MO 631261030
Phone: (314) 974-0416
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63126)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2264423458View full group profile

Name	Specialty	State
JACOBO EDUARDO ANAYA (DPT)	Physical Therapist In Private Practice	TX
RON P HANDSHOE	Physical Therapist In Private Practice	KY
ANNE HORTON (PT, DPT)	-	IL
KYLE W WESSEL (PT)	-	KY
CHANTEL HUBBARD	Physical Therapist In Private Practice	FL
BRIANNA NELL (DPT)	-	ME
LAURA TIPTON COCKRELL (PT)	Physical Therapist In Private Practice	KY
DR. JESSICA AQUINO (DPT, ATC)	-	FL
CHASE KNEIB (DPT)	Physical Therapist In Private Practice	MO
NASH BELL (DPT)	-	IL

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRYAN BENGSTON?

BRYAN BENGSTON — NPI 1073166864 — is the standard way to identify this listing.

Is BRYAN BENGSTON listed as active for patients and plans?

The listing shows BRYAN BENGSTON as active in the NPI system.

What is BRYAN BENGSTON's primary classification?

Sports Medicine (Physical Medicine & Rehabilitation) Physician is the headline specialty for BRYAN BENGSTON here. Clinical services aligned with this taxonomy classification.

Does BRYAN BENGSTON list a practice location?

Patients near Saint Louis, Missouri may find BRYAN BENGSTON in results; validate coverage separately.

How many locations tie to this NPI?

2 practice locations appear in the available data.