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BRADLEY BIBB MD PLLC
NPI 1194572040
Clinic/Center - Rural Health in Ponca City, OK

Active since April 30, 2024CLIA 37D2305616 · Waiver
1201 E HARTFORD AVE, PONCA CITY, OK 74601(580) 762-1911(580) 762-0887 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2024, Apr 30, 2024 (2 updates tracked since 2024).

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

NPI1194572040
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBRADLEY BIBB MD PLLC
Location Address1201 E HARTFORD AVEPonca City, OK 74601-2018
Mailing Address4196 Highway 62 412 Ste AHardy, AR 72542-8002
Phone(580) 762-1911
Fax(580) 762-0887
Organization SubpartNo
Authorized OfficialMonya YorkController · (870) 856-1202
Enumeration DateApril 30, 2024
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1194572040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
1201 E HARTFORD AVE, Ponca City, OK 74601
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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, OK
Active · expires Dec 31, 2026
CLIA Number37D2305616
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorChadwick Ross
Laboratory Phone(580) 762-1911
Laboratory LocationBradley Bibb MD PLLC1201 E Hartford Ave, Ponca City, OK 74601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

SCARLETT NICOLE VIRDEN APRN FNPC, AGACNP-BC
Nurse Practitioner (Family)
1201 E HARTFORD AVE
PONCA CITY, OK 74601
Kay County (580) 762-1911
KATIE BIBY
Nurse Practitioner (Family)
1201 E HARTFORD AVE
PONCA CITY, OK 74601
Kay County (580) 762-1911
PONCA CITY IMMEDIATE CARE, LLC
Family Medicine
1201 E HARTFORD AVE
PONCA CITY, OK 74601
Kay County (580) 762-1911
PHYSICIANS URGENT CARE CENTER, INC.
Family Medicine
1201 E HARTFORD AVE
PONCA CITY, OK 74601
Kay County (580) 762-1911

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 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.

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 from Arkansas Health & Wellness, Ambetter from Home State Health, 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 22 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.