BRADLEY BIBB MD PLLC NPI 1699097436

NPI Information

NPI: 1699097436
Provider Name: BRADLEY BIBB MD PLLC
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Other Name: ACCESS MEDICAL CLINIC
Address: 49 HIGHWAY 62 412
ASH FLAT, AR
ZIP 72513
Phone: (870) 994-7301

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NPI Details

BRADLEY BIBB MD PLLC is a rural health clinic center in Ash Flat, AR. BRADLEY BIBB MD PLLC NPI is 1699097436. 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:

49 HIGHWAY 62 412
ASH FLAT, AR
ZIP 72513-594
Phone: (870) 994-7301

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

The enumeration date for this NPI number is 2/21/2010 and was last updated on 11/7/2024.

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
1	207Q00000X	Family Medicine		E-4136	ARKANSAS	No
2	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	204415002	MEDICAID	ARKANSAS

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

NPI Synchronization or Removal

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