BRADLEY BIBB, MD PLLC (NPI# 1568904480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568904480 |
| Entity Type | Organization |
| Organization Name | BRADLEY BIBB, MD PLLC |
| Other Organization Name | ACCESS MEDICAL CLINIC DARDANELLE |
| Practice Address |
1176 State Highway 22 W Ste B Dardanelle AR 72834 |
| Mailing Address |
49 Highway 62 412 Ash Flat AR 72513-9594 |
| Practice Telephone | 4792293004 |
| Practice Fax Number | 8709947488 |
| Mailing Fax Number | 8709947488 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MEDICARE | 5G523 | 01 |
| Other Name | Type Code |
|---|---|
| Access Medical Clinic Dardanelle | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1176 State Highway 22 W, Suite B, Dardanelle, AR 728343006 | 8706050014 | 8709947488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1285183962 | Bradley Bibb, Md Pllc | Clinic/Center | 101 W Main St, Hardy, AR 72542 | 2016-09-23 |
| Street Address |
1176 STATE HIGHWAY 22 W STE B |
| City | DARDANELLE |
| State | AR |
| Zip Code | 72834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669012878 | James Ryan Carroll | Nurse Practitioner | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834-3006 | 2020-01-15 |
| 1073159133 | Katie Rae Crawford | Physician Assistant | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834-3006 | 2019-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356711 | Joshua Craig Cummins | Pharmacist | 1172 Highway 7 North, Dardanelle, AR 72834 | 2020-11-03 |
| 1639716905 | Rodney Vance Parker | Pharmacist | 309 E. 8th Street, Danville, AR 72834 | 2019-12-05 |
| 1861735243 | Tranquility Day Spa, Inc. | Point of Service | 27403 N State Hwy 27 South, Suite B, Pottsville, AR 72834 | 2013-04-03 |
| 1790990240 | Dardanelle Community Hospital LLC | Psychiatric Unit | 200 North Third Street, Dardanelle, AR 72834 | 2007-05-10 |
| 1356400634 | Gilbert Howard Kimball | Emergency Medicine | Yell County Hospital Dardanelle 200 North Third St., Dardanelle, AR 72834 | 2006-12-06 |
| 1255423059 | Michael D Mccormick | Dentist | 116 S Front St, Dardanelle, AR 72834 | 2006-09-29 |
| 1205940236 | Dardanelle Hospital Yell County | Emergency Medicine | 200 North 3rd Street, Dardanelle, AR 72834 | 2006-08-18 |
| 1740207240 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1172 Old Highway 7 S, Dardanelle, AR 72834 | 2006-07-17 |
| 1881671055 | William Patrick Scott | General Practice | 200 N 3rd, Dardanelle, AR 72834 | 2005-12-28 |
| 1063410223 | Duvall Enterprises Inc | Pharmacy | 1736 State Hwy 22 W., Dardanelle, AR 72834 | 2005-07-12 |
| Find all providers in zip 72834 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245437490 | River Valley Medical Center Family Clinic LLC | Clinic/Center | 1652 State Highway 22 W, Dardanelle, AR 72834-2909 | 2007-06-29 |
| 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 |
| 1588015820 | Bradley Bibb Md Pllc | Clinic/Center | 2161 Ar 56 Highway, Calico Rock, AR 72519 | 2016-06-28 |
| Find all providers with the same taxonomy | ||||
| City | DARDANELLE |
| Zip Code | 72834 |
Please comment or provide details below to improve the information on BRADLEY BIBB, MD PLLC.
| 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.