# BRADLEY BIBB MD PLLC

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

## Provider details

- **NPI number:** 1871968388
- **Authorized official:** BRADLEY BIBB M.D. (OWNER)
- **Authorized official phone:** (870) 994-7301

## Contact information

- **Practice address:** 201 S BAY DR, BAY, AR 72411
- **Practice address phone:** (870) 770-1920
- **Practice address fax:** (870) 994-7488
- **Mailing address:** 49 HIGHWAY 62 412, ASH FLAT, AR 72513-9594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E4136 | AR | Yes |

## Other

- **Enumeration date:** 12/09/2015
- **Last updated:** 02/03/2020