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

Nr Edmond LLC

Organization Family Medicine Physician · NPI 1659144384

Nr Edmond LLC is a Family Medicine Physician in Edmond, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3520 S Blvd Ste 100
Edmond, OK 73013-5413
Phone: (405) 495-7391
Fax: (405) 669-3517
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1659144384
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Bales — Ceo · (405) 953-7221
Other names Nerve Renewal Edmond; Nerve Renewal Edmond
NPI enumeratedNovember 3, 2023
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address3705 Nw 63rd St Ste 200, Oklahoma City, OK 73116-1937

Other providers in Edmond