BRADLEY BIBB, MD PLLC (NPI# 1770067589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770067589 |
| Entity Type | Organization |
| Organization Name | BRADLEY BIBB, MD PLLC |
| Practice Address |
49 Highway 62 412 Ash Flat AR 72513-9594 |
| Mailing Address |
101 W Main St Hardy AR 72542-9566 |
| Practice Telephone | 8709947301 |
| Practice Fax Number | 8709947488 |
| Mailing Telephone | 5737182570 |
| Mailing Fax Number | 8708562133 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | MONYA YORK (ADMINISTRATIVE CREDENTIALING) |
| Authorized Official Telephone | 5737182570 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| Access Podiatry | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3519 Highway 63, Black Rock, AR 724159022 | 8708784005 | 8709947488 |
| 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 |
| 1285183962 | Bradley Bibb, Md Pllc | Clinic/Center | 101 W Main St, Hardy, AR 72542 | 2016-09-23 |
| 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 |
| 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 |
| 1699097436 | Bradley Bibb Md Pllc | Family Medicine | 49 Highway 62 412, Ash Flat, AR 72513-9594 | 2010-02-21 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003210 | Healthy Connections Specialty, LLC | Podiatrist | 900 Martin Luther King Blvd Ste 108, Malvern, AR 72104-2217 | 2020-11-03 |
| 1417509597 | Dr. Austin Kramer P.a. | Podiatrist | 509 E Millsap Rd Ste Ve101, Fayetteville, AR 72703-4067 | 2019-07-10 |
| 1174092217 | Conway Regional Medical Center Inc. | Podiatrist | 550 Club Ln Ste 1, Conway, AR 72034-3681 | 2018-11-19 |
| 1457731804 | Tait Podiatry, LLC | Podiatrist | 2 Margeaux Ct, Little Rock, AR 72223-9193 | 2015-06-01 |
| 1386045763 | Rajnish Rammohan | Podiatrist | 5004 S U St Ste 101b, Fort Smith, AR 72903-3600 | 2014-09-04 |
| 1346651494 | Timothy Wayne Gauldin | Podiatrist | 106 Ridgeway St Ste D, Hot Springs, AR 71901-7157 | 2014-05-12 |
| 1902239486 | Austin Alan Kramer | Podiatrist | 509 E Millsap Rd Ste 101, Fayetteville, AR 72703-4862 | 2013-08-19 |
| 1609123223 | Supply and General Equipment, Inc. | Podiatrist | 13310 Kanis Road, Little Rock, AR 72211-4008 | 2012-08-14 |
| 1093949448 | Gina Marie Morgan | Podiatrist | 2308 Royal Ct Unit A, Bryant, AR 72022-4216 | 2009-05-13 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 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.