Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Bagwell Family Medicine PLLC

Organization Family Medicine Physician · NPI 1457212730

Bagwell Family Medicine PLLC provides Family Medicine Physician services 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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

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

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Other providers in Kingston