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

Nathan Lee Granneman, MD

Individual provider Occupational Medicine Physician · NPI 1689960171

Nathan Lee Granneman, MD is an Emergency Medicine in Columbia, Missouri. Graduated from University of Missouri, Columbia School of Medicine in 2011, 15 years ago. Practices with Boone Physician Services LLC, a 240-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
MO
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

401 N Keene St
Columbia, MO 65201-6625
Phone: (573) 876-1600
Fax: (573) 876-1606
Show map & directions

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

Additional practice locations (1)

  • 601 W Business Loop 70 Ste 275, Columbia, MO 65203-2522 — (573) 874-0008

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence 2012023532 (MO)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 2012023532 (MO)

Record details

NPI number1689960171
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2011
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024
Mailing address401 N Keene St, Columbia, MO 65201-6625

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesFAMILY PRACTICE, SPORTS MEDICINE
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Boone Physician Services Llc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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