Individual provider Active NPI

Brooks M Travis, D.C.

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1740386960
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2001001543 Issued in MO
Practice address
3400 Buttonwood Dr Ste C
Columbia, MO 65201-3720
Phone
(573) 443-0551
Fax
(573) 442-2959
NPI assigned
Sep 15, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2001001543 MO Primary

Addresses

Primary practice location

3400 Buttonwood Dr Ste C
Columbia, MO 65201-3720

Mailing address

605 Wildrose PL
Columbia, MO 65201-6796
Phone (573) 424-2254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lordex Spine Center of Columbia P.C. CurrentSince Aug 26, 2005 Accepting new patients

Locations

3400 Buttonwood Dr
Ste C
Columbia, MO 65201
Phone (573) 443-0551

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740386960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 WILDROSE PL",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016796",
            "telephone_number": "573-424-2254",
            "fax_number": "573-442-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BUTTONWOOD DR STE C",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013720",
            "telephone_number": "573-443-0551",
            "fax_number": "573-442-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "BROOKS",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2001001543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.