BRYSON RICHARD ENSIGN DO
NPI 1487356556
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since March 21, 2023
900 MAIN ST STE 720, PEORIA, IL 61602(801) 891-3861 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bryson Richard Ensign Do NPPES

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

BRYSON RICHARD ENSIGN DO (NPI 1487356556) is an individual student in an organized health care education/training program provider in Peoria, Illinois and active in the NPI registry since March 2023.Information from the official NPPES registry record, last updated March 21, 2023.

NPPES Registry Identity

NPI1487356556
Entity TypeIndividualMale
Provider Legal NameBRYSON RICHARD ENSIGNCredential: DO
Location Address900 MAIN ST STE 720Peoria, IL 61602-5027
Mailing Address537 W 1420 N Apt 102Logan, UT 84341-7035 · (801) 891-3861
Sole ProprietorNo
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
NPI 1487356556 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Student in an Organized Health Care Education/Training Program

Taxonomy 390200000X · Student, Health Care

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.

900 MAIN ST STE 720, Peoria, IL 61602

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
900 MAIN ST STE 720
PEORIA, IL 61602
Student in an Organized Health Care Education/Training Program
900 MAIN ST STE 720
PEORIA, IL 61602
Student in an Organized Health Care Education/Training Program
900 MAIN ST STE 720
PEORIA, IL 61602
Student in an Organized Health Care Education/Training Program
900 MAIN ST STE 720
PEORIA, IL 61602
Student in an Organized Health Care Education/Training Program
900 MAIN ST STE 720
PEORIA, IL 61602
Student in an Organized Health Care Education/Training Program
900 MAIN ST STE 720
PEORIA, IL 61602
Student in an Organized Health Care Education/Training Program
900 MAIN ST STE 720
PEORIA, IL 61602
Psychiatry & Neurology (Psychiatry)
900 MAIN ST STE 720
PEORIA, IL 61602
Psychologist (Clinical)
900 MAIN ST STE 720
PEORIA, IL 61602
Psychiatry & Neurology (Psychiatry)
900 MAIN ST STE 720
PEORIA, IL 61602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487356556, enumerated as an "individual" on March 21, 2023.

The provider is located at 900 MAIN ST STE 720 PEORIA, IL 61602 and the phone number is (801) 891-3861.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.