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

Dr. Charles P. Bondurant, MD

Individual provider Neurological Surgery Physician · NPI 1174515696

Dr. Charles P. Bondurant, MD is a Neurosurgery in Columbia, Missouri. Graduated from University of Oklahoma College of Medicine in 1988, 38 years ago. Practices with Boone Physician Services LLC, a 240-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
38
Trained at
University of Oklahoma College of Medicine
Licensed in
MO
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1605 E Broadway Ste 100
Columbia, MO 65201-8023
Phone: (573) 815-4242
Fax: (573) 815-4245
Show map & directions

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

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence R8J14 (MO)

Record details

NPI number1174515696
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 19, 2005
Last updated in NPPESJuly 22, 2020
Certification dateJuly 22, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROSURGERY
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Boone Physician Services Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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