NPIMap

Bradley Bibb MD PLLC

A Medicare group practice based in Ponca City, OK: 16 NPIs enrolled under one PECOS associate control ID (PAC ID 4789715285), with 129 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4789715285The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
Enrolled in
AR, IN, OK
Enrollments
16
Group size
71 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
25In 13 places

Enrollment records 16

Enrollment IDStateProvider typeNPI
O20100628000488 AR Part B Supplier - Clinic/Group Practice 1699097436
O20140716000863 AR Part A Provider - Rural Health Clinic 1437569837
O20141208001330 AR Part A Provider - Rural Health Clinic 1831595057
O20170914000861 AR Part A Provider - Rural Health Clinic 1568904480
O20161123000159 AR Part A Provider - Rural Health Clinic 1285183962
O20250605000839 OK Part A Provider - Rural Health Clinic 1669289310
O20250523001278 IN Part A Provider - Rural Health Clinic 1699582627
O20250605002003 OK Part A Provider - Rural Health Clinic 1013724764
O20250527000087 IN Part A Provider - Rural Health Clinic 1831906593
O20250404001511 IN Part B Supplier - Clinic/Group Practice 1699582627
O20240528002642 AR Part A Provider - Rural Health Clinic 1871346064
O20240520001147 OK Part B Supplier - Clinic/Group Practice 1194572040
O20240912002176 AR Part A Provider - Rural Health Clinic 1639562432
O20240628002776 OK Part A Provider - Rural Health Clinic 1194572040
O20240816001027 AR Part A Provider - Rural Health Clinic 1568200061
O20220827000263 AR Part A Provider - Rural Health Clinic 1699097436

NPIs in this group 16

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 129

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (109) or whom Care Compare lists as members (71).

Sources for this page