BRADLEY BIBB, MD PLLC (NPI# 1770938870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770938870 |
| Entity Type | Organization |
| Organization Name | BRADLEY BIBB, MD PLLC |
| Other Organization Name | ACCESS MEDICAL CLINIC WEINER |
| Practice Address |
106 N Van Buren St Weiner AR 72479-9289 |
| Mailing Address |
101 W Main St Hardy AR 72542-9566 |
| Practice Telephone | 8706050014 |
| Practice Fax Number | 8709947488 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | BRADLEY RAY BIBB (CEO) |
| Authorized Official Telephone | 8709947301 |
| 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 Weiner | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 106 North Van Buren Street, Weiner, AR 72479 | 8709947301 |
| 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 |
| 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 |
106 N VAN BUREN ST |
| City | WEINER |
| State | AR |
| Zip Code | 72479-9289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578929 | Access Medical Clinic Arkansas LLC | Clinic/Center | 106 N Van Buren St, Weiner, AR 72479-9289 | 2019-09-23 |
| 1053891895 | Lawrence A Weisenbach | Nurse Practitioner | 106 N Van Buren St, Weiner, AR 72479-9289 | 2018-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326264607 | Heritage Foot Clinic LLC | Technician | 208 N Van Buren, Weiner, AR 72479-8948 | 2007-04-17 |
| 1821003435 | Cotton & Earls Drug Stores Inc | Pharmacy | 212 N Van Buren St, Weiner, AR 72479-8948 | 2006-07-30 |
| 1235345323 | Weiner School District | Local Education Agency (LEA) | 313 N Garfield St, Weiner, AR 72479-9304 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235345323 | Weiner School District | Local Education Agency (LEA) | 313 N Garfield St, Weiner, AR 72479-9304 | 2007-05-15 |
| 1326264607 | Heritage Foot Clinic LLC | Technician | 208 N Van Buren, Weiner, AR 72479-8948 | 2007-04-17 |
| 1821003435 | Cotton & Earls Drug Stores Inc | Pharmacy | 212 N Van Buren St, Weiner, AR 72479-8948 | 2006-07-30 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114578929 | Access Medical Clinic Arkansas LLC | Clinic/Center | 106 N Van Buren St, Weiner, AR 72479-9289 | 2019-09-23 |
| 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 |
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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.