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

William Bodine, PA-C

Individual provider Medical Physician Assistant · NPI 1114332459

William Bodine, PA-C is a Medical Physician Assistant in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2014.

Licensed in
IN
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone: (765) 502-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10001661A (IN)

Record details

NPI number1114332459
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 25, 2014
Last updated in NPPESJune 28, 2016
Mailing address1040 Sierra Dr, Ste 400, Greenwood, IN 46143-7241

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