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BRADLEY BIBB MD PLLC
NPI 1194516328
Family Medicine in Ash Flat, AR

Active since May 15, 2025CLIA 04D2005307 · Waiver
49 HIGHWAY 62 412, ASH FLAT, AR 72513(870) 994-7301 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bradley Bibb Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY BIBB MD PLLC (NPI 1194516328) is a healthcare organization registered as a family medicine in Ash Flat, Arkansas and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists Monya York, Director Credentialing, as its authorized official.

NPPES Registry Identity

NPI1194516328
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRADLEY BIBB MD PLLC
Location Address49 HIGHWAY 62 412Ash Flat, AR 72513-9594
Mailing Address4196 Highway 62 412 Ste AHardy, AR 72542-8002 · (870) 856-1202
Phone(870) 994-7301
Organization SubpartNo
Authorized OfficialMonya YorkDirector Credentialing · (870) 856-1202
Enumeration DateMay 15, 2025
NPPES CertifiedMay 15, 2025
✔ NPI 1194516328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
49 HIGHWAY 62 412, Ash Flat, AR 72513
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2005307

Bradley Bibb MD PLLC · Ash Flat, AR
Active · expires May 1, 2028
CLIA Number04D2005307
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorMark Hahn
Laboratory Phone(870) 994-7301
Laboratory LocationBradley Bibb MD PLLC49 Hwy 62/142, Ash Flat, AR 72513
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATIE STUCKER APRN
Nurse Practitioner
49 HIGHWAY 62 412
ASH FLAT, AR 72513
Sharp County (870) 994-7301
BRADLEY BIBB, MD PLLC
Audiologist
49 HIGHWAY 62 412
ASH FLAT, AR 72513
Sharp County (870) 856-1202
BRADLEY BIBB MD PLLC
Clinic/Center (Rural Health)
49 HIGHWAY 62 412
ASH FLAT, AR 72513
Sharp County (870) 994-7301
DR. BRADLEY RAY BIBB MD
Family Medicine
49 HIGHWAY 62 412
ASH FLAT, AR 72513
Sharp County (870) 994-7301
BRADLEY BIBB MD PLLC
Podiatrist
49 HIGHWAY 62 412
ASH FLAT, AR 72513
Sharp County (870) 994-7301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Bibb MD PLLC's NPI number?

The NPI number for Bradley Bibb MD PLLC is 1194516328. It was assigned to this organization in the NPPES registry on May 15, 2025.

Where is Bradley Bibb MD PLLC located?

Bradley Bibb MD PLLC is located at 49 Highway 62 412, Ash Flat, AR 72513. The listed phone number is (870) 994-7301.

What is Bradley Bibb MD PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Bradley Bibb MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2005307) is associated with this NPI, valid through May 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bradley Bibb MD PLLC was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.