| NPI | 1437569837 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2014-05-07 |
| Last Updated | 2026-01-28 |
| Authorized Official | Monya York Director Credentialing Phone: 8708561202 |
| Mailing Address | 4196 Highway 62 412 Ste A Hardy, AR 72542-8002 United States 📍 View Map |
| Primary Practice Address | 3519 Highway 63 Black Rock, AR 72415 United States Phone: (870) 878-4005 | Fax: (870) 994-7488 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | AR | 204416002 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207Q00000X – Family Medicine | - | - |
| Yes | 261QR1300X – Clinic/Center, Rural Health | - | - |
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About NPI 1437569837
Bradley Bibb Md Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1437569837. The primary specialty listed is Clinic/Center, Rural Health. The organization is located in Black Rock, AR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-05-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1437569837?
NPI 1437569837 belongs to Bradley Bibb Md Pllc, a Clinic/Center, Rural Health in Black Rock, AR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1437569837 active?
The current status of NPI 1437569837 in the NPPES registry is Active. The record was last updated on 2026-01-28.
What specialty is NPI 1437569837?
NPI 1437569837 is classified under the taxonomy Clinic/Center, Rural Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1437569837?
You can verify NPI 1437569837 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1437569837?
The primary practice address on file for NPI 1437569837 is 3519 Highway 63, Black Rock, AR 72415. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1437569837 issued?
NPI 1437569837 was first issued (enumerated) on 2014-05-07. The NPPES record was last updated on 2026-01-28.
Practice Location Map
Bradley Bibb Md Pllc is located at 3519 Highway 63, Black Rock, AR. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Bradley Bibb Md Pllc. All records sourced from the CMS NPPES registry.