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RENATO BACOL RIVERA M.D.
NPI 1083612790
Surgery in Breese, IL

Active since July 07, 2005
9515 HOLY CROSS LN STE 175, BREESE, IL 62230(618) 526-8430(618) 526-7275 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renato Bacol Rivera M.d. NPPES

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

RENATO BACOL RIVERA M.D. (NPI 1083612790) is an individual surgery provider in Breese, Illinois, licensed in Illinois (036045712) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1083612790
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRENATO BACOL RIVERACredential: M.D.
Location Address9515 HOLY CROSS LN STE 175Breese, IL 62230-3618
Mailing Address9401 Holy Cross Ln, Suite 111Breese, IL 62230-3510 · (618) 526-7133 · Fax (618) 526-7160
Phone(618) 526-8430
Fax(618) 526-7275
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateDecember 30, 2021
NPPES CertifiedDecember 30, 2021
✔ NPI 1083612790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036045712
Definition
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.
9515 HOLY CROSS LN STE 175, Breese, IL 62230
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Other Identifiers 1

Medicaid036045712IL

Other Providers at the Same Location NPPES 3

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

DR. OSMAN SALIH MAHDI BABIKIR M.D.
Surgery
9515 HOLY CROSS LN STE 175
BREESE, IL 62230
Clinton County (618) 636-2261
DR. JACOB DANIEL WENGERT DC, FNP
Nurse Practitioner
9515 HOLY CROSS LN STE 175
BREESE, IL 62230
Clinton County (618) 526-8430
ULUNNA KECHINYERE MACBEAN M.D
Surgery
9515 HOLY CROSS LN STE 175
BREESE, IL 62230
Clinton County (618) 526-8430

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 Renato Rivera's NPI number?

The NPI number for Renato Rivera is 1083612790. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Renato Rivera located?

Renato Rivera practices at 9515 Holy Cross Ln Ste 175, Breese, IL 62230. The listed phone number is (618) 526-8430.

What is Renato Rivera's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Renato Rivera was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.