Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lordex Spine Center of Columbia PC

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1992884217

Lordex Spine Center of Columbia PC provides Sports Medicine (Neuromusculoskeletal Medicine) Physician services in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3400 Buttonwood Dr Ste C
Columbia, MO 65201-3720 Not confirmed with CMS for 17 years — call before visiting
Phone: (573) 443-0551
Fax: (573) 442-2959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X · Licence R8620 (MO)
Sports Medicine (Neuromusculoskeletal Medicine) Physician Taxonomy 204C00000X · Licence 2002023835 (MO)

Record details

NPI number1992884217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brooks Travis — Owner · (573) 443-0551
NPI enumeratedNovember 6, 2006
Last updated in NPPESAugust 17, 2009
Mailing address3400 Buttonwood Dr, Ste C, Columbia, MO 65201-3720

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