Individual
ROBERT L BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
201 W BROADWAY STE B, COLUMBIA, MO 65203-3842
(573) 443-0075
Mailing address
1906 POTOMAC DR, COLUMBIA, MO 65203-5843
(573) 443-0075
(573) 445-8080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36421
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100463
BLUE CHOICE
MO
01
—
104036
UNITED HEALTHCARE
MO
01
—
130835
HEALTHLINK
MO
05
—
241825744
—
MO
01
—
2486843301
KANSAS MEDICAID
MO
Enumeration date
06/01/2006
Last updated
11/01/2025
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