Bradley Bibb MD PLLC
Organization Active NPI Rural Health Clinic/Center · Chickasha, OK
NPI 1013724764 · NPPES record last updated Aug 18, 2025
Key facts
- NPI
- 1013724764
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- BRADLEY BIBB MD PLLC
- Practice address
- 2001 S 1St St
Chickasha, OK 73018-6007 - Phone
- (405) 320-9444
- Fax
- (405) 320-9666
- NPI assigned
- Dec 16, 2024
- Organization subpart
- No
Authorized official
- Name
- Monya York
- Title
- Director Credentialing
- Phone
- (870) 856-1202
Owners & managing parties with NPI records 1
-
Bradley Ray Bibb, MD
Other NPIs with the same Medicare PAC ID 12
Corporate family (same tax ID) 7
Practitioners 129
-
Amy Casey, APRN
-
Kayla Diane Hardesty, P.A-C, PT
-
Megan Lawver, N.P.
-
Brandy N Anderson, APRN
-
Kirsten Baker, PA-C
-
Bradley Ray Bibb, MD
-
Shannon Black, FNP-BC
-
Courtney Brashear, APRN
-
James Ryan Carroll, APRN
-
Courtney Linn Cavender, APRN
-
Rebecca Coble, APRN, FNP-C
-
Katie Rae Crawford, PA-C
-
Sarah E Drum, APRN
-
Stephanie Eagle, FNP-BC
-
Lacey Head Farrar, MSN, AG-ACNP, FNP
-
Linzy Gavin, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Rural health clinic certification: CCN 373916
- Legal name
- BRADLEY BIBB MD PLLC
- Doing business as
- ACCES MEDICAL CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Aug 12, 2025
- Last certification
- Aug 12, 2025
- Ownership / control type
- 1A
- Organization structure
- LLC · Proprietary
- Enrollment address
- 2001 S 1St St
Chickasha, OK 73018-6007
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Bradley Ray Bibb |
5% Or Greater Direct Ownership Interest |
Jul 23, 2008 | 100% |
| Corporate Officer |
Jul 23, 2008 | 100% | |
| Monya York |
Corporate Director |
Jul 17, 2017 | |
| W-2 Managing Employee |
Jul 17, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250605002003 | OK | Part a Provider - Rural Health Clinic | 4789715285 | Practice locations: Chickasha, OK |
National Provider Directory
- Tax ID family
- Access Medical Clinic
Locations
1176 State Highway 22 W
Ste B
Dardanelle, AR 72834
Phone (479) 229-3004
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
2001 S 1St St
Chickasha, OK 73018-6007
Mailing address
4196 Highway 62 412 Ste a
Hardy, AR 72542-8002
Phone (870) 856-1202
Other names
- Access Medical Clinic
Other providers in Chickasha, OK
- Dawnshaye Renee Blakes
- Justin Blaylock
- Sherry Lynn Borden
- Jacob Duane Boyd
- Gary Allen Boyer
- Katelin Bradshaw
- Shannon Renee Brady-Bardsher
- Jessica Bragg
- Brooke Brandt
- Pam Brandt
All providers in Chickasha, OK · Rural Health Clinic/Center in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.