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

Hannibal Clinic Operations, LLC

Organization Family Medicine Physician · NPI 1215916911

Hannibal Clinic Operations, LLC is a Family Medicine Physician in Bowling Green, Missouri. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

710 Business Highway 61 S
Bowling Green, MO 63334-5239
Phone: (573) 324-2063
Fax: (573) 324-2167
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1215916911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Bukstein — Physician Exec. Director · (573) 231-3172
Other names Hannibal Clinic @ Bowling Green; Hannibal Clinic @ Bowling Green
NPI enumeratedJanuary 11, 2006
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address100 Medical Dr, P.O. Box 311, Hannibal, MO 63401-6877

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