| Bradley Bibb Md Pllc | |
|
1201 E Hartford Ave Ponca City OK 74601-2018 | |
| (580) 762-1911 | |
| (580) 762-0887 |
| Full Name | Bradley Bibb Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1201 E Hartford Ave, Ponca City, Oklahoma |
| Authorized Official Name and Position | Monya York (CONTROLLER) |
| 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 1201 E Hartford Ave Ponca City OK 74601-2018 Ph: (580) 762-1911 |
| NPI Number | 1194572040 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 10/02/2024 |
| Medicare PECOS PAC ID | 4789715285 |
|---|---|
| Medicare Enrollment ID | O20240520001147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194572040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Chadwick Benjamin Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750356861 PECOS PAC ID: 5294753760 Enrollment ID: I20051216000675 |
| Provider Name | Megan A Lawver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821407180 PECOS PAC ID: 5698997138 Enrollment ID: I20141117001397 |
| Provider Name | Amy Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053717546 PECOS PAC ID: 3678885738 Enrollment ID: I20150701001869 |
| Provider Name | Katie L Biby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720451594 PECOS PAC ID: 7315249786 Enrollment ID: I20160104000031 |
| Provider Name | Terri Moody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750577698 PECOS PAC ID: 3678658473 Enrollment ID: I20231121000551 |
| Provider Name | Chad Eric Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477276954 PECOS PAC ID: 7113370735 Enrollment ID: I20240131001412 |
| Provider Name | Linzi Ruth Mackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720820442 PECOS PAC ID: 3072035435 Enrollment ID: I20250314003324 |
| Provider Name | Jene' Coon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306582846 PECOS PAC ID: 4587036926 Enrollment ID: I20250428004033 |
Mark Oatman Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N 3rd St, Ponca City, OK 74601 Phone: 580-762-1777 Fax: 580-762-1771 | |
Dsk Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Fairview Ave, Building 3, Ste. 20, Ponca City, OK 74601 Phone: 580-765-6647 Fax: 580-765-6699 | |
Bruce Baugher D.o., Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1908 N 14th St, Suite 207, Ponca City, OK 74601 Phone: 580-763-5900 Fax: 580-763-5901 | |
Urgent Care And Family Practice Center Of Ponca City Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1715 N 5th St, Ponca City, OK 74601 Phone: 580-762-9292 Fax: 580-762-1660 | |
Limb Salvage International, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2210 N 14th St, Ponca City, OK 74604 Phone: 580-718-0002 Fax: 580-718-0003 | |
John W. Holden, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 427 Fairview Ave, Ponca City, OK 74601 Phone: 580-765-9299 Fax: 580-765-2199 |