| Bradley Bibb Md Pllc | |
|
2400 S Country Club Rd El Reno OK 73036-5801 | |
| (405) 276-3800 | |
| (405) 276-3912 |
| Full Name | Bradley Bibb Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2400 S Country Club Rd, El Reno, Oklahoma |
| Authorized Official Name and Position | Monya York (DIRECTOR CREDENTIALING) |
| Authorized Official Contact | 8708561202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Bibb Md Pllc 4196 Highway 62 412 Ste A Hardy AR 72542-8002 Ph: (870) 856-1202 | Bradley Bibb Md Pllc 2400 S Country Club Rd El Reno OK 73036-5801 Ph: (405) 276-3800 |
| NPI Number | 1669289310 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 02/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669289310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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