Individual provider · Type 1 NPI

Charles P. Bondurant, MD

Neurological Surgery Physician · Columbia, MO

NPI number 1174515696 Active · reactivated Apr 12, 2006

Practice location

1605 E Broadway, Suite 100
Columbia, MO 65201-8023

Fax (573) 815-4245

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XR8J14 (MO)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1174515696

Charles P. Bondurant, MD's National Provider Identifier is 1174515696, issued on Aug 19, 2005. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Columbia, MO. The record was last updated on Jul 22, 2020.