BRADLEY BIBB MD PLLC
NPI 1194572040
Clinic/Center - Rural Health in Ponca City, OK
About Bradley Bibb Md Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEY BIBB MD PLLC (NPI 1194572040) is a healthcare organization registered as a rural health in Ponca City, Oklahoma and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Monya York, Controller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bradley Bibb Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Bradley Bibb MD PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 37D2305616
Bradley Bibb MD PLLC · Ponca City, OKFrequently 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 1194572040. It was assigned to this organization in the NPPES registry on April 30, 2024.
Where is Bradley Bibb MD PLLC located?
Bradley Bibb MD PLLC is located at 1201 E Hartford Ave, Ponca City, OK 74601. The listed phone number is (580) 762-1911.
What is Bradley Bibb MD PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Bradley Bibb MD PLLC enrolled in Medicare?
Yes. Bradley Bibb MD PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bradley Bibb MD PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Bradley Bibb MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Emergency Medicine (1) and Family Practice (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bradley Bibb MD PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D2305616) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bradley Bibb MD PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Bradley Bibb MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bradley Bibb MD PLLC was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Bradley Bibb Md Pllc · NPI 1194572040
Rural Health organization in Ponca City, Oklahoma. Organization record, active in the CMS NPPES registry since April 30, 2024.
## Identity
- **NPI:** 1194572040 (Entity type: Organization)
- **Enumerated:** April 30, 2024
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Monya York, CONTROLLER
## Practice location
- **Address:** 1201 E HARTFORD AVE, Ponca City, OK 74601-2018
- **Phone:** (580) 762-1911 · **Fax:** (580) 762-0887
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Emergency Medicine (1), Family Practice (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1194572040) · Data from the CMS NPPES public registry.