Individual provider · Type 1 NPI

Payton Bodden, PA-C

Physician Assistant · St. Louis, MO

NPI number 1891658522 Active

Practice location

11125 Dunn Rd Ste 301
St. Louis, MO 63136-6132

Call (314) 273-2234 Map

Mailing address

PO Box 959354
St. Louis, MO 63195-9354

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Physician Assistant Primary 363A00000X2026003572 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1891658522

Payton Bodden, PA-C's National Provider Identifier is 1891658522, issued on Dec 9, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 29, 2026.