BRADLEY BIBB MD PLLC (NPI# 1699097436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699097436 |
| Entity Type | Organization |
| Organization Name | BRADLEY BIBB MD PLLC |
| Practice Address |
49 Highway 62 412 Ash Flat AR 72513-9594 |
| Practice Telephone | 8709947301 |
| Mailing Telephone | 8709947301 |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | DR. BRADLEY RAY BIBB (OWNER) |
| Authorized Official Telephone | 8702572141 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-4136 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 204415002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588015820 | Bradley Bibb Md Pllc | Clinic/Center | 2161 Ar 56 Highway, Calico Rock, AR 72519 | 2016-06-28 |
| 1871968388 | Bradley Bibb Md Pllc | Family Medicine | 201 S Bay Dr, Bay, AR 72411 | 2015-12-09 |
| 1639562432 | Bradley Bibb Md Pllc | Family Medicine | 10144 Highway 63 N Ste B, Bono, AR 72416 | 2015-03-18 |
| 1437569837 | Bradley Bibb Md Pllc | Clinic/Center | 3519 Highway 63, Black Rock, AR 72415 | 2014-05-07 |
| 1831595057 | Bradley Bibb Md Pllc | Clinic/Center | 202 Newsome Dr, Marked Tree, AR 72365-2021 | 2014-11-16 |
| Street Address |
49 HIGHWAY 62 412 |
| City | ASH FLAT |
| State | AR |
| Zip Code | 72513-9594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700824307 | Bradley Ray Bibb | Family Medicine | 49 Highway 62 412, Ash Flat, AR 72513-9594 | 2006-06-04 |
| 1770067589 | Bradley Bibb, Md Pllc | Podiatrist | 49 Highway 62 412, Ash Flat, AR 72513-9594 | 2018-09-18 |
| 1083065015 | Katie Stucker | Nurse Practitioner | 49 Highway 62 412, Ash Flat, AR 72513-9594 | 2016-06-30 |
| 1285017517 | Victoria Zeiger | Nurse Practitioner | 49 Highway 62 412, Ash Flat, AR 72513-9594 | 2015-07-06 |
| 1124432455 | Jessica Wood | Nurse Practitioner | 49 Highway 62 412, Ash Flat, AR 72513-9594 | 2014-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972073450 | Hope Satterwhite | Speech-Language Pathologist | 120 Nix Rd, Ash Flat, AR 72513 | 2018-11-28 |
| 1356816110 | Garrett Andrew Sublett | Occupational Therapy Assistant | 83-1 Tuff St, Ash Flat, AR 72513 | 2018-10-09 |
| 1821540626 | Phillip Michael Taylor | Case Manager/Care Coordinator | 75 Hwy 62 - 412, Ash Flat, AR 72513 | 2016-10-27 |
| 1174079453 | Isaacs Occupational Therapy, LLC | Occupational Therapist | 33 Court Rd, Ash Flat, AR 72513 | 2016-08-28 |
| 1275899726 | David Bryant | Case Manager/Care Coordinator | 75 Hwy 75-612, Ash Flat, AR 72513 | 2012-04-10 |
| 1235375734 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 714 Ash Flat Dr, Ash Flat, AR 72513 | 2009-01-05 |
| 1336303262 | Melinda Wallis | Case Manager/Care Coordinator | Remington Plaza 75k Hwy 62/142, Ash Flat, AR 72513 | 2008-07-10 |
| 1336306596 | Stephanie Chapps | Case Manager/Care Coordinator | 75 Hwy 62-412, Ash Flat, AR 72513 | 2008-05-16 |
| 1598985863 | Network of Community Options Inc. | Day Training, Developmentally Disabled Services | 10 Martin Lane, Ash Flat, AR 72513 | 2007-04-27 |
| 1386864882 | Melanie Ann Isaacs | Occupational Therapist | #873 Hwy 354, Ash Flat, AR 72513 | 2007-04-26 |
| Find all providers in zip 72513 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871662734 | Baxter County Regional Hospital | Family Medicine | 970 Ash Flat Dr, Ash Flat, AR 72513-0790 | 2006-11-07 |
| 1700824307 | Bradley Ray Bibb | Family Medicine | 49 Highway 62 412, Ash Flat, AR 72513-9594 | 2006-06-04 |
| 1790751329 | Rebecca Plumlee Phillips | Family Medicine | 308 Highway 62 W, Ash Flat, AR 72513-9415 | 2006-02-24 |
| 1699945147 | Baxter County Regional Hospital Inc | Family Medicine | 970 Ash Flat Dr, Ash Flat, AR 72513-0790 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609833 | Lafayette County Family Practice | Family Medicine | 226 Spruce Street, Lewisville, AR 71845 | 2020-11-06 |
| 1285234252 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 220 Madison 2620, Kingston, AR 72742 | 2020-10-29 |
| 1932709995 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 505 W Section Line Road, Poyen, AR 72128 | 2020-10-29 |
| 1124627781 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 370 Highway 215, Oark, AR 72852-8858 | 2020-10-23 |
| 1932708641 | Premiere Family Practice | Family Medicine | 1904 Grant Ave Ste G, Jonesboro, AR 72401-6165 | 2020-10-22 |
| 1790383156 | Arkansas Health Group | Family Medicine | 4635 John F Kennedy Blvd, North Little Rock, AR 72116-7310 | 2020-10-16 |
| 1932707650 | Relymd Medical Group Ar, Pllc | Family Medicine | 1215 Twin Lakes Dr, Little Rock, AR 72205-6768 | 2020-10-14 |
| 1679180624 | Nwa Md Consulting Pllc | Family Medicine | 199 N 34th St, Rogers, AR 72756-0304 | 2020-09-24 |
| 1417563321 | Access Medical Clinic Arkansas LLC | Family Medicine | 444 Taylor Circle, Cave City, AR 72521 | 2020-09-17 |
| 1871107474 | Mimo Medical Services, LLC | Family Medicine | 2506 Crestview Dr, Magnolia, AR 71753-4336 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
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.