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BRYCE HAMAMOTO
NPI 1003751389
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since April 22, 2026PECOS Enrolled
221 NE GLEN OAK AVE, PEORIA, IL 61636(309) 672-5522 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryce Hamamoto NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYCE HAMAMOTO (NPI 1003751389) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1003751389
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRYCE HAMAMOTO
Location Address221 NE GLEN OAK AVEPeoria, IL 61636-1000
Mailing Address1 Illini DrPeoria, IL 61605-2576 · (309) 671-3000
Phone(309) 672-5522
Sole ProprietorYes
Enumeration DateApril 22, 2026
NPPES CertifiedApril 15, 2026
✔ NPI 1003751389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
221 NE GLEN OAK AVE, Peoria, IL 61636
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Secondary Practice Location 1

Location 1900 Main St Ste 720Peoria, IL 61602-5027 · Phone (309) 495-1640

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryce Hamamoto is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIAZ SHAH MD
Internal Medicine
221 NE GLEN OAK AVE, SUITE 504
PEORIA, IL 61636
Peoria County (309) 672-5729
CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD
Radiology (Radiation Oncology)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5700
MIHAILO NIKOLIC
Nurse Anesthetist, Certified Registered
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5654
WAQAS ALI MD
Internal Medicine
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5522
ANNE LOOK APN
Nurse Practitioner (Acute Care)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5522
DR. KENNETH STRUM M.D.
Anesthesiology
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 369-1761
DR. ANDREW BRIAN ARMSTRONG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-4920
DR. MATTHEW TRENT CARPENTER MD
Radiology (Radiation Oncology)
221 NE GLEN OAK AVE, DEPARTMENT OF RADIATION ONCOLOGY
PEORIA, IL 61636
Peoria County (309) 672-5700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryce Hamamoto's NPI number?

The NPI number for Bryce Hamamoto is 1003751389. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Bryce Hamamoto located?

Bryce Hamamoto practices at 221 NE Glen Oak Ave, Peoria, IL 61636. The listed phone number is (309) 672-5522.

What is Bryce Hamamoto's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bryce Hamamoto enrolled in Medicare?

Yes. Bryce Hamamoto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryce Hamamoto was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.