Dr Charles P Bondurant, MD | |
1605 E Broadway, Suite 100, Columbia, MO 65201-8023 | |
(573) 815-4242 | |
(573) 815-4245 |
Full Name | Dr Charles P Bondurant |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 36 Years |
Location | 1605 E Broadway, Columbia, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174515696 | NPI | - | NPPES |
206949802 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | R8J14 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Boone Hospital Center | Columbia, MO | Hospital |
Lake Regional Health System | Osage beach, MO | Hospital |
Bothwell Regional Health Center | Sedalia, MO | Hospital |
Northeast Regional Medical Center | Kirksville, MO | Hospital |
Macon County Samaritan Memorial Hospital | Macon, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Health Quest Physicians Group, Llc | 4284651274 | 19 |
Boone Physician Services Llc | 6507090644 | 228 |
Entity Name | Boone Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760893259 PECOS PAC ID: 6507090644 Enrollment ID: O20131003000535 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles P Bondurant, MD 1605 E Broadway, Suite 100, Columbia, MO 65201-8023 Ph: (573) 815-4242 | Dr Charles P Bondurant, MD 1605 E Broadway, Suite 100, Columbia, MO 65201-8023 Ph: (573) 815-4242 |
Dr. O. Gerald Orth, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 2404 Beachview Dr, Columbia, MO 65203 Phone: 573-445-6174 | |
Dr. Fareed R Jumah, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-3957 | |
Carolyn Sue Quinsey, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1021 Hitt St, Columbia, MO 65212 Phone: 573-882-4908 Fax: 573-884-5184 | |
Lori R Darr, APRN Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: One Hospital Drive, Columbia, MO 65212 Phone: 573-884-8646 Fax: 573-884-5184 | |
Dr. Bornali Kundu, M.D., PH.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-4908 Fax: 573-884-5184 | |
Tomoko Tanaka, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65201 Phone: 573-882-4908 Fax: 573-884-5184 |