Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Capital Region Medical Center

Organization Family Medicine Physician · NPI 1124091285

Capital Region Medical Center is a Family Medicine Physician in Jefferson City, Missouri. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

1500 SW Blvd Ste D
Jefferson City, MO 65109
Phone: (573) 632-5780
Fax: (573) 632-5833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1124091285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Luebbering — Vp Of Finance · (573) 632-5100
Other names Capital Region Physicians - Southwest
NPI enumeratedFebruary 9, 2006
Last updated in NPPESAugust 23, 2013
Mailing address1500 Southwest Blvd, Ste D, Jefferson City, MO 65109

Other providers in Jefferson City