National Provider Identifier Database

BRADLEY BIBB MD PLLC
Rural Health


Contact Information

BRADLEY BIBB MD PLLC
2800 WALMART DR
HUNTINGTON, IN46750-7977
Phone: 260-200-4950
Fax: 260-200-4960
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for BRADLEY BIBB MD PLLC

NPI Number 1699582627
Legal business name
LBN
BRADLEY BIBB MD PLLC
Authorized official MONYA YORK - (DIRECTOR CREDENTIALING)
Entity Organization
Organization subpart No
Enumeration date 12/12/2024
Last updated 09/04/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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