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MADISON PRIMARY CARE
NPI 1881993210
Family Medicine in Madison, AL

Active since March 24, 2011CLIA 01D2021281 · Waiver
400 SUN TEMPLE DR, MADISON, AL 35758(256) 774-5524(256) 774-5523 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madison Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON PRIMARY CARE (NPI 1881993210) is a healthcare organization registered as a family medicine in Madison, Alabama and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Adeel Bodla, Physician, as its authorized official.

NPPES Registry Identity

NPI1881993210
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMADISON PRIMARY CARE LLC
Location Address400 SUN TEMPLE DRMadison, AL 35758-5924
Mailing Address400 Sun Temple DrMadison, AL 35758-5924 · (256) 774-5524 · Fax (256) 774-5523
Phone(256) 774-5524
Fax(256) 774-5523
Organization SubpartNo
Authorized OfficialAdeel BodlaPhysician · (626) 644-7722
Enumeration DateMarch 24, 2011
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1881993210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 SUN TEMPLE DR, Madison, AL 35758
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Other Names 1

Doing Business AsMadison Primary Care

Other Identifiers 1

MedicaidPENDINGAL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2021281

Madison Primary Care LLC · Madison, AL
Active · expires Mar 9, 2027
CLIA Number01D2021281
Laboratory TypePhysician Office
Certificate Effective DateMarch 10, 2025
Certificate Expiration DateMarch 9, 2027
Laboratory DirectorAdeel Bodla MD
Laboratory Phone(256) 774-5524
Laboratory LocationMadison Primary Care LLC400 Sun Temple Dr, Madison, AL 35758
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY BAUGHER CRNP
Nurse Practitioner (Family)
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524
ANNA LUEKER
Nurse Practitioner (Primary Care)
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524
FAKHRA AHMAD-BODLA N.P.
Nurse Practitioner (Family)
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524
SARAH WHELDEN HALL
Student in an Organized Health Care Education/Training Program
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524
LEAH G CANTRELLE
Family Medicine
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524
KRISTY LEANNE WILLIAMS CRNP
Nurse Practitioner
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524
ADEEL A BODLA MD
Family Medicine (Adult Medicine)
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524
KATHERINE KOSHOFER PA-C
Physician Assistant
400 SUN TEMPLE DR
MADISON, AL 35758
Madison County (256) 774-5524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Primary Care LLC's NPI number?

The NPI number for Madison Primary Care LLC is 1881993210. It was assigned to this organization in the NPPES registry on March 24, 2011. The provider is doing business as Madison Primary Care.

Where is Madison Primary Care LLC located?

Madison Primary Care LLC is located at 400 Sun Temple Dr, Madison, AL 35758. The listed phone number is (256) 774-5524.

What is Madison Primary Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Madison Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2021281) is associated with this NPI, valid through March 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Madison Primary Care LLC was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.