Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bagwell Family Medicine PLLC

Organization Family Medicine Physician · NPI 1457212730

Bagwell Family Medicine PLLC is a Family Medicine Physician in Kingston, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3487 Edge Rd
Kingston, OK 73439-8881
Phone: (469) 215-0494
Fax: (469) 215-0494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1457212730
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Bagwell — Fnp · (469) 215-0494
NPI enumeratedNovember 18, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address3487 Edge Rd, Kingston, OK 73439-8881

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