BRADLEY BIBB MD PLLC (NPI# 1639562432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639562432 |
| Entity Type | Organization |
| Organization Name | BRADLEY BIBB MD PLLC |
| Other Organization Name | ACCESS MEDICAL CLINIC BONO |
| Practice Address |
10144 Highway 63 N Ste B Bono AR 72416 |
| Mailing Address |
49 Highway 62 412 Ash Flat AR 72513-9594 |
| Practice Telephone | 8705206069 |
| Practice Fax Number | 8709947488 |
| Mailing Fax Number | 8709947488 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | BRADLEY BIBB (OWNER) |
| Authorized Official Telephone | 8709947301 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E 4136 | AR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| access medical clinic bono | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10144 Highway 63 N, Bono, AR 724167676 | 8709947301 | 8709947488 |
| 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 |
| 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 |
| 1699097436 | Bradley Bibb Md Pllc | Family Medicine | 49 Highway 62 412, Ash Flat, AR 72513-9594 | 2010-02-21 |
| Street Address |
10144 HIGHWAY 63 N STE B |
| City | BONO |
| State | AR |
| Zip Code | 72416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912158619 | Medi-quick Walk-in Clinic, P.a. | Clinic/Center | 10144 Highway 63 North, Suite A, Bono, AR 72416 | 2008-10-01 |
| 1093873531 | Jocelyn Johnson | Occupational Therapist | 188 County Road 133, Bono, AR 72416 | 2006-12-05 |
| 1083046445 | Jennifer D Robins | Nurse Practitioner | 9146 Highway 63 N, Bono, AR 72416 | 2013-08-07 |
| 1265794564 | Heather Leann Glover | Nurse Practitioner | 9146 Highway 63 N, Bono, AR 72416 | 2012-06-12 |
| 1710110051 | Amy Johnson | Nurse Practitioner | 9146 Highway 63 N, Bono, AR 72416 | 2009-09-03 |
| 1922331545 | Zachary Tyler Norman | Occupational Therapist | 3898 County Road 318, Bono, AR 72416-7562 | 2009-09-14 |
| 1801101902 | Carepartners of Northeast Arkansas | In Home Supportive Care | 230 County Road 375, Bono, AR 72416-7661 | 2010-08-12 |
| 1184082273 | Shannon Pogue | Nurse Practitioner | 10144 Highway 63 N Ste A, Bono, AR 72416-7676 | 2016-02-03 |
| 1033317508 | Pediatric Therapy Works, LLC | Speech-Language Pathologist | 401 County Road 111, Bono, AR 72416-8116 | 2007-07-06 |
| 1477659464 | Kenneth L Holder | Family Medicine | 8002 Highway 63 N, Bono, AR 72416-8137 | 2006-09-16 |
| Find all providers in zip 72416 | ||||
| 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 |
|---|---|---|---|---|
| 1477659464 | Kenneth L Holder | Family Medicine | 8002 Highway 63 N, Bono, AR 72416-8137 | 2006-09-16 |
| 1235178963 | George Patton | Family Medicine | 9146 Highway 63 N, Bono, AR 72416-8153 | 2006-06-06 |
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| 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 | ||||
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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.