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

Floyd Bodden, PA

Individual provider Physician Assistant · NPI 1811191687

Floyd Bodden, PA is a Physician Assistant in Fort Defiance, Arizona. Qualified in 1994, 32 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
32
Licensed in
CA, NV
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

Corner Of Route N12 And N7
Fort Defiance, AZ 86504
Phone: (928) 729-8000
Fax: (928) 729-8000
Show map & directions

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

Additional practice locations (1)

  • 2823 Fresno Street, Fresno, CA 93721-1324 — (559) 499-6439

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA13593 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 999 (NV)

Record details

NPI number1811191687
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 13, 2007
Last updated in NPPESJune 26, 2026
Certification dateJune 26, 2026
Mailing addressPo Box 649, Fort Defiance, AZ 86504-0649

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Defiance