BRADLEY BIBB MD PLLC NPI 1639562432

NPI Information

  • NPI: 1639562432
  • Provider Name: BRADLEY BIBB MD PLLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Other Name: ACCESS MEDICAL CLINIC
  • CLIA Number: 04D2093578
  • Address: 10144 HIGHWAY 63 N STE B
    BONO, AR
    ZIP 72416
  • Phone: (870) 520-6069

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NPI Details

BRADLEY BIBB MD PLLC is a rural health clinic center in Bono, AR. BRADLEY BIBB MD PLLC NPI is 1639562432. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Access Medical Clinic.

The provider's business location address is:

10144 HIGHWAY 63 N STE B
BONO, AR
ZIP 72416
Phone: (870) 520-6069
Fax: (870) 994-7488

The provider's authorized official is Monya York .
The authorized official title is Director Credentialing and has the following contact phone number (870) 856-1202.

The CLIA number assigned to this NPI record is 04D2093578 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2015 and was last updated on 12/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineE 4136ARKANSASNo
2261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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