BRADLEY BIBB MD PLLC (NPI# 1831595057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831595057 |
Entity Type | Organization |
Organization Name | BRADLEY BIBB MD PLLC |
Other Organization Name | ACCESS MEDICAL CLINIC |
Practice Address |
202 Newsome Dr Marked Tree AR 72365-2021 |
Mailing Address |
49 Highway 62 412 Ash Flat AR 72513-9594 |
Practice Telephone | 8703584355 |
Practice Fax Number | 8709947488 |
Mailing Telephone | 8709947301 |
Mailing Fax Number | 8709947488 |
Enumeration Date | 2014-11-16 |
Last Update Date | 2020-02-03 |
Authorized Official Name | BRADLEY BIBB (CEO) |
Authorized Official Telephone | 8709947301 |
Authorized Official Credential | M.D. |
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 |
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 |
1699097436 | Bradley Bibb Md Pllc | Family Medicine | 49 Highway 62 412, Ash Flat, AR 72513-9594 | 2010-02-21 |
Street Address |
202 NEWSOME DR |
City | MARKED TREE |
State | AR |
Zip Code | 72365-2021 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144268061 | Kimitaka Saito | Family Medicine | 202 Newsome Dr, Marked Tree, AR 72365-2021 | 2006-06-03 |
1700905296 | The Doctor's Office of Marked Tree | Family Medicine | 202 Newsome Dr, Marked Tree, AR 72365-2021 | 2007-03-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255593232 | Dr Bryan Caplinger Pa | Optometrist | 116 Nathan, Marked Tree, AR 72365 | 2008-06-30 |
1740368174 | Arkansas Elder Outreach of Little Rock, Inc. | Skilled Nursing Facility | 33904 Highway 63, Marked Tree, AR 72365 | 2006-11-02 |
1033394804 | Tracy Renee Pilgrim | Nurse Practitioner | 105 Nathan St, Marked Tree, AR 72365 | 2007-12-29 |
1174925945 | Arkansas Home Health Providers-iv, LLC | Home Health | 107 Nathan St, Marked Tree, AR 72365-1447 | 2014-09-23 |
1043523228 | Mary Melissa Cantrell | Nurse Practitioner | 105 Nathan St, Marked Tree, AR 72365-1447 | 2010-07-16 |
1780620534 | Crittenden Hospital Association | Clinic/Center | 105 Nathan St, Marked Tree, AR 72365-1447 | 2006-06-21 |
1912305186 | Caring Hearts Home Care Provider LLC | Home Health | 108 Nathan St, Marked Tree, AR 72365-1448 | 2014-12-19 |
1538597588 | Michael A. Curtis Od Plc | Optometrist | 116 Nathan St, Marked Tree, AR 72365-1448 | 2013-10-29 |
1669839486 | Cjmh, LLC | Optometrist | 116 Nathan St, Marked Tree, AR 72365-1448 | 2016-01-25 |
1932271590 | Roach Enterprises Inc | Durable Medical Equipment & Medical Supplies | 98 Highway 63b Ste A, Suite A, Marked Tree, AR 72365-1614 | 2006-11-15 |
Find all providers in zip 72365 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780620534 | Crittenden Hospital Association | Clinic/Center | 105 Nathan St, Marked Tree, AR 72365-1447 | 2006-06-21 |
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 |
City | MARKED TREE |
Zip Code | 72365 |
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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.