# BRADLEY BIBB MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194516328
- **Authorized official:** MONYA YORK (DIRECTOR CREDENTIALING)
- **Authorized official phone:** (870) 856-1202

## Contact information

- **Practice address:** 49 HIGHWAY 62 412, ASH FLAT, AR 72513-9594
- **Practice address phone:** (870) 994-7301
- **Mailing address:** 4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
- **Mailing address phone:** (870) 856-1202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2025
- **Last updated:** 05/15/2025