| Bradley Bibb Md Pllc | |
|
10144 Highway 63 N Ste B Bono AR 72416 | |
| (870) 520-6069 | |
| (870) 994-7488 |
| Full Name | Bradley Bibb Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10144 Highway 63 N Ste B, Bono, Arkansas |
| Authorized Official Name and Position | Monya York (DIRECTOR CREDENTIALING) |
| Authorized Official Contact | 8708561202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Bibb Md Pllc 4196 Highway 62 412 Ste A Hardy AR 72542-8002 Ph: () - | Bradley Bibb Md Pllc 10144 Highway 63 N Ste B Bono AR 72416 Ph: (870) 520-6069 |
| NPI Number | 1639562432 |
|---|---|
| Provider Enumeration Date | 03/18/2015 |
| Last Update Date | 12/12/2024 |
| Medicare PECOS PAC ID | 4789715285 |
|---|---|
| Medicare Enrollment ID | O20240912002176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639562432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E 4136 (Arkansas) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Medi-quick Walk-in Clinic, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10144 Highway 63 North, Suite A, Bono, AR 72416 Phone: 870-932-8600 Fax: 870-932-8601 |