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Contact Information

BRADLEY BIBB MD PLLC
49 HIGHWAY 62 412
ASH FLAT, AR72513-9594
 Phone: 870-994-7301
 Fax: 870-994-7488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRADLEY BIBB MD PLLC

NPI # 1770067589
LBN Legal business name BRADLEY BIBB MD PLLC
Authorized official MONYA YORK - (ADMINISTRATIVE CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 09/18/2018
Last updated 11/07/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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