Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BRYAN T. TERVO D.D.S.
NPI 1467563809
Dentist - General Practice in Peoria, IL

Q: What is Bryan Tervo's NPI number?

The NPI number for Bryan Tervo is 1467563809. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Bryan Tervo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Tervo was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.

Active since August 31, 2006PECOS Enrolled

530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 624-9741 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2023, Jan 25, 2019, Jan 2, 2019 (3 updates tracked since 2019).

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About Dr. Bryan T. Tervo D.d.s. NPPES

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

DR. BRYAN T. TERVO D.D.S. (NPI 1467563809) is an individual general practice provider in Peoria, Illinois, licensed in Illinois (019.036514) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467563809

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRYAN T. TERVOCredential: D.D.S.

Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001

Mailing Address3204 W Cypress Creek DrDunlap, IL 61525-2514 · (971) 336-1101

Phone(309) 624-9741

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateJune 17, 20263 updates tracked since enumeration

NPPES CertifiedJune 17, 2026

✔ NPI 1467563809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in IL · 019.036514✔ Licensed in OR · DF0043✔ Licensed in OH · 30.021010✔ Licensed in MI · 2901601231

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

530 NE GLEN OAK AVE, Peoria, IL 61637

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bryan T. Tervo D.d.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. DEEPAK S NAIR M.D.

Psychiatry & Neurology (Neurology)

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

DR. HAMID MAHMOOD ZIA M.D

Pathology (Anatomic Pathology & Clinical Pathology)

530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637

Peoria County (309) 624-9011

THOMAS JAMES MCMORROW MD

Pediatrics

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2553

ERIC TYLER AMPARAN MD

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2274

ALEXANDRA ROPER MD

Surgery

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

JAPMEHR KAUR SANDHU M.B.B.S.

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 624-9351

THOMAS BLACKWELL JR. MD

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

LUKE KLOFT

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2109

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 Bryan Tervo's NPI number?

The NPI number for Bryan Tervo is 1467563809. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Bryan Tervo located?

Bryan Tervo practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-9741.

What is Bryan Tervo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Bryan Tervo enrolled in Medicare?

Yes. Bryan Tervo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Tervo was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.