Bradley Ray Bibb, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-4136 Issued in AR

Practice address

49 Highway 62 412
Ash Flat, AR 72513-9594

Phone

(870) 994-7301

Fax

(870) 994-7488

NPI assigned

Jun 4, 2006

Last updated

May 18, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

University of Arkansas College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradley Bibb MD PLLCGroup PAC ID 4789715285, 71 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21087/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/25499/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/25927/brand/1/csg/1/fhir/r4
• Direct secure messaging: bradley.bibb.1@25499.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/2424/brand/1/csg/1/fhir/r4

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Chickasha, OK
  • NPI 1013724764

  5% Or Greater Direct Ownership Interest, Corporate Officer

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Medical Clinic North Carolina PLLC

  • Rural Health Clinic/Center
  • Laurel Hill, NC
  • NPI 1205596962

  Family Medicine

  Medicare reassignment NPD Authorized official
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Ash Flat, AR
  • NPI 1699097436
  Medicare reassignment Care Compare group
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Lamar, AR
  • NPI 1073004891
  Authorized official Same address or phone
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Caraway, AR
  • NPI 1104321850
  Authorized official Same address or phone
• Access Medical Clinic Arkansas LLC

  • Family Medicine Physician
  • Salem, AR
  • NPI 1124657713
  Authorized official Same address or phone
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Cedarville, AR
  • NPI 1164913984
  Authorized official Same address or phone
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Sheridan, AR
  • NPI 1508360413
  Authorized official Same address or phone
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1578007647
  Authorized official Same address or phone
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Hope, AR
  • NPI 1609370519
  Authorized official Same address or phone
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Rison, AR
  • NPI 1639698558
  Authorized official Same address or phone
• Access Medical Clinic Arkansas, LLC

  • Rural Health Clinic/Center
  • Ashdown, AR
  • NPI 1275224263
  Authorized official Same address or phone
• Bradley Bibb MD PLLC

  • Family Medicine Physician
  • Bay, AR
  • NPI 1871968388
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1700824307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HIGHWAY 62 412",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725139594",
            "telephone_number": "870-994-7301",
            "fax_number": "870-994-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 HIGHWAY 62 412",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725139594",
            "telephone_number": "870-994-7301",
            "fax_number": "870-994-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBB",
        "first_name": "BRADLEY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-4136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155872001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baxter County Regional Hospital Inc (D/B/a BRMC Ash Flat Clinic)
• Leilani F. Beagle, LCSW
• Dana Howard Beard, LPC
• Lana Becking, LCSW
• Cassidy Berton
• Candice Elizabeth Biewer, MHPP
• John Joseph Biron
• Kayla Boyd
• Bradley Bibb MD PLLC
• Bradley Bibb MD PLLC

• Family Medicine Physician in Ash Flat, AR
• Providers in Ash Flat, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.