Family Medicine
EDMOND PRIMARY CARE LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1770344160 · enumerated 2024-01-22 · record updated 2025-05-14. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: AMANDA BODINE Physician Assistant, Owner/CEO · (636) 485-0731
Addresses and phones
- Practice location 200 N BRYANT AVE STE 105, EDMOND, OK, 73034-6273 (405) 300-8964 Google Maps Apple Maps OpenStreetMap
- Mailing address 200 N BRYANT AVE STE 105, EDMOND, OK, 73034-6273 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
-
Practice location
EDMOND, OK, 730346273
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.