BRADLEY BIBB, MD PLLC (NPI# 1285183962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285183962 |
Entity Type | Organization |
Organization Name | BRADLEY BIBB, MD PLLC |
Other Organization Name | ACCESS MEDICAL CLINIC |
Practice Address |
101 W Main St Hardy AR 72542 |
Mailing Address |
49 Highway 62 412 Ash Flat AR 72513-9594 |
Practice Telephone | 8708952100 |
Practice Fax Number | 8709947488 |
Mailing Fax Number | 8709947488 |
Enumeration Date | 2016-09-23 |
Last Update Date | 2020-02-03 |
Authorized Official Name | DR. BRADLEY BIBB (CEO) |
Authorized Official Telephone | 8709947301 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Access Medical Clinic | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
101 W Est Main St., Hardy, AR 72542 | 8709947301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
1770938870 | Bradley Bibb, Md Pllc | Clinic/Center | 106 N Van Buren St, Weiner, AR 72479-9289 | 2016-04-27 |
1770067589 | Bradley Bibb, Md Pllc | Podiatrist | 49 Highway 62 412, Ash Flat, AR 72513-9594 | 2018-09-18 |
Street Address |
101 W MAIN ST |
City | HARDY |
State | AR |
Zip Code | 72542 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902382799 | Brandy N Anderson | Nurse Practitioner | 101 W Main St, Hardy, AR 72542-9566 | 2018-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154978351 | Together: Individual and Family Focused Counseling, Pllc | Counselor | 3342 Highway 42 412, Hardy, AR 72542 | 2019-08-22 |
1952797979 | April Stacey | Day Training/Habilitation Specialist | 2012 Highway 62/412, Highland, AR 72542 | 2015-04-07 |
1760891519 | Chasity Johnson | Specialist/Technologist | 300 Boothe Rd, Hardy, AR 72542 | 2014-08-06 |
1346427093 | Benjamin Lee Cravens | Counselor | 2423 W Hwy 62/412, Hardy, AR 72542 | 2008-01-24 |
1689853665 | Glden Care Adult Day Health Care Inc. | Respite Care | 1508 B Hwy 62/412, Hardy, AR 72542 | 2007-10-26 |
1942404975 | Goldencare Adhc, Inc | Clinic/Center | 1508 B Hwy 62 412, Highland, AR 72542 | 2007-06-13 |
1710003769 | Karen Ann Schadler | Durable Medical Equipment & Medical Supplies | 3115 Hwy 62-412, Hardy, AR 72542 | 2007-03-21 |
1902956246 | Andrea Davis | Pharmacist | Hwy 62 412, Midway Plaza, Hardy, AR 72542 | 2007-01-11 |
1720138068 | Clifford Marsh Davis | Pharmacist | Hwy 62-412, Midway Plaza, Hardy, AR 72542 | 2007-01-11 |
1316026891 | Dan T Speir Od Pa | Optometrist | 1238 Hwy 62 412, Ste B, Hardy, AR 72542 | 2006-11-03 |
Find all providers in zip 72542 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.