LORDEX SPINE CENTER OF COLUMBIA P.C. – NPI #1992884217
Neuromusculoskeletal Medicine, Sports Medicine

A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

LORDEX SPINE CENTER OF COLUMBIA P.C. is a provider located in COLUMBIA, MO. NPPES has assigned the NPI number 1992884217 to LORDEX SPINE CENTER OF COLUMBIA P.C. on November 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204C00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine, Sports Medicine.

The NPI profile was previously updated about 17 years ago on Aug 17, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LORDEX SPINE CENTER OF COLUMBIA P.C. below.

NPI Profile for
LORDEX SPINE CENTER OF COLUMBIA P.C.

NPI Number
1992884217
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LORDEX SPINE CENTER OF COLUMBIA P.C.
Primary location
3400 BUTTONWOOD DR
STE C
COLUMBIA, MO 65201-3720
Phone: (573) 443-0551 Fax: (573) 442-2959
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BROOKS TRAVIS
OWNER
Phone: (573) 443-0551
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204C00000X
- Neuromusculoskeletal Medicine, Sports Medicine (Primary)
MO 2002023835

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.