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

Edmond Primary Care LLC

Organization Family Medicine Physician · NPI 1770344160

Edmond Primary Care LLC is a Family Medicine Physician in Edmond, Oklahoma. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 N Bryant Ave Ste 105
Edmond, OK 73034-6273
Phone: (405) 300-8964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1770344160
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Bodine — Owner/Ceo · (636) 485-0731
NPI enumeratedJanuary 22, 2024
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address200 N Bryant Ave Ste 105, Edmond, OK 73034-6273

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