DR. CHARLES P. BONDURANT (M.D.) – Neurological Surgery Physician, NPI 1174515696

DR. CHARLES P. BONDURANT (M.D.) is a healthcare provider. based in Columbia, Missouri. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. R8J14 (MO). The NPI Number for DR. CHARLES P. BONDURANT (M.D.) is 1174515696

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES P. BONDURANT (M.D.)
NPI
1174515696
Phone
(573) 815-4242
Address
1605 E BROADWAY
Enumeration Date
19 August 2005
Deactivation Date
25 March 2006
Reactivation Date
12 April 2006
Last Update Date
22 July 2020

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
5738157119
Graduation Year
1988 (38 years ago)
PAC ID
2365454774
Group Practice PAC ID
6507090644
Professional Enrollment ID
I20060630000171
Address ID
MO652017185CO1705XBROA301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

185 NEUROSURGERY in MO

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Provider Addresses for DR. CHARLES P. BONDURANT (M.D.)

  • 1605, East Broadway, Strollway, Columbia, Boone County, Missouri, 65201, United States

    SUITE 100

    COLUMBIA, MO 652018023

    Phone: (573) 815-4242

    Fax: (573) 815-4245

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060630000171INeurosurgeryMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes27971$0
99213Established patient office or other outpatient visit, 20-29 minutes160129$0
99212Established patient office or other outpatient visit, 10-19 minutes10998$0
99215Established patient office or other outpatient visit, 40-54 minutes8165$0
99214Established patient office or other outpatient visit, 30-39 minutes5854$0
View full utilization report →

Insurance plans in this area (ZIP 65201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507090644View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Hospitalist, Internal MedicineMO
Nurse PractitionerMO
Physical Therapist In Private PracticeMO
-WI
Infectious Disease, Hospitalist, Internal MedicineNM
Internal Medicine, HospitalistMO
-MO

Reviews

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Frequently asked questions

Can I cross-check DR. CHARLES P. BONDURANT (M.D.) using NPI 1174515696?
NPI 1174515696 belongs to DR. CHARLES P. BONDURANT (M.D.); compare other details if you need extra assurance.
Is there an active status for DR. CHARLES P. BONDURANT (M.D.)?
For scheduling context, DR. CHARLES P. BONDURANT (M.D.) is shown as active in the registry.
What area of care is associated with DR. CHARLES P. BONDURANT (M.D.)?
DR. CHARLES P. BONDURANT (M.D.)'s record emphasizes Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. CHARLES P. BONDURANT (M.D.) associated with Columbia?
Public fields place DR. CHARLES P. BONDURANT (M.D.) around Columbia, Missouri. Always confirm the exact site before visiting.
Does DR. CHARLES P. BONDURANT (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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