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ROGER D. BONHAM M.D., P.C.
NPI 1063544674
Ophthalmology in Columbia, MO

Active since March 09, 2007
500 N KEENE ST, SUITE 101, COLUMBIA, MO 65201(573) 449-3846(573) 449-3706 Get Directions Write a Review

NPPES record last updated: September 14, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roger D. Bonham M.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROGER D. BONHAM M.D., P.C. (NPI 1063544674) is a healthcare organization registered as an ophthalmology in Columbia, Missouri and active in the NPI registry since March 2007. The organization lists Kathy Cundiff, General Manager, as its authorized official.

NPPES Registry Identity

NPI1063544674
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameROGER D. BONHAM M.D., P.C.
Location Address500 N KEENE ST, SUITE 101Columbia, MO 65201-8105
Mailing Address500 N Keene St, Suite 101Columbia, MO 65201-8105 · (573) 449-3846 · Fax (573) 449-3846
Phone(573) 449-3846
Fax(573) 449-3706
Organization SubpartNo
Authorized OfficialKathy CundiffGeneral Manager · (573) 449-3846
Enumeration DateMarch 9, 2007
Last NPPES UpdateSeptember 14, 2009
✔ NPI 1063544674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MO · R6F35
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

500 N KEENE ST, Columbia, MO 65201
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Other Identifiers 4

Medicaid202256202MO
Medicare PIN000015690MO
OtherDH1046MO · Railroad Medicare
Medicare UPINB18393MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB BRADLEY MOORE
Optometrist
500 N KEENE ST, SUITE 103
COLUMBIA, MO 65201
Boone County (573) 874-2030
MRS. TAYLOR RAY JENNINGS FNP
Nurse Practitioner (Family)
500 N KEENE ST, STE 305
COLUMBIA, MO 65201
Boone County (573) 882-5673
DR. DAVID EDWARD DRAPER M.D.
Pediatrics (Pediatric Cardiology)
500 N KEENE ST, SUITE 207
COLUMBIA, MO 65201
Boone County (573) 219-3960
DR. RAYMOND TODD FOSTER SR. M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
500 N KEENE ST, SUITE 306
COLUMBIA, MO 65201
Boone County (573) 817-3165
COLUMBIA RETINA CLINIC, LTD.
Ophthalmology
500 N KEENE ST, SUITE 102
COLUMBIA, MO 65201
Boone County (573) 449-3846
DR. PETER CUMMINS DYKE II M.D.
Pediatrics (Pediatric Cardiology)
500 N KEENE ST, SUITE 207
COLUMBIA, MO 65201
Boone County (573) 219-3960
HASSAN FARRA MD
Pediatrics (Pediatric Cardiology)
500 N KEENE ST, STE 207
COLUMBIA, MO 65201
Boone County (573) 219-3960
MILOT THAQI MD
Surgery
500 N KEENE ST, STE 305
COLUMBIA, MO 65201
Boone County (573) 882-5673

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roger D. Bonham M.D., P.C.'s NPI number?

The NPI number for Roger D. Bonham M.D., P.C. is 1063544674. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Roger D. Bonham M.D., P.C. located?

Roger D. Bonham M.D., P.C. is located at 500 N Keene St Suite 101, Columbia, MO 65201. The listed phone number is (573) 449-3846.

What is Roger D. Bonham M.D., P.C.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Roger D. Bonham M.D., P.C. was last updated on September 14, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.