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BRADLEY BIBB MD PLLC NPI 1770067589


NPI Information

NPI: 1770067589
Provider Name: BRADLEY BIBB, MD PLLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
49 HIGHWAY 62 412
ASH FLAT, AR
ZIP 72513
Phone: (870) 994-7301
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BRADLEY BIBB, MD PLLC is a podiatrist in Ash Flat, AR. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BRADLEY BIBB, MD PLLC NPI is 1770067589. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

49 HIGHWAY 62 412
ASH FLAT, AR
ZIP 72513-594
Phone: (870) 994-7301
Fax: (870) 994-7488

The provider's authorized official is Monya York .
The authorized official title is Administrative Credentialing and has the following contact phone number (573) 718-2570.

The enumeration date for this NPI number is 9/18/2018 and was last updated on 2/3/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.