Bradley Bibb Md Pllc | |
49 Highway 62 412 Ash Flat AR 72513-9594 | |
(870) 994-7301 | |
Not Available |
Full Name | Bradley Bibb Md Pllc |
---|---|
Speciality | Clinic/Center |
Location | 49 Highway 62 412, Ash Flat, Arkansas |
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 49 Highway 62 412 Ash Flat AR 72513-9594 Ph: (870) 994-7301 | Bradley Bibb Md Pllc 49 Highway 62 412 Ash Flat AR 72513-9594 Ph: (870) 994-7301 |
NPI Number | 1699097436 |
---|---|
Provider Enumeration Date | 02/21/2010 |
Last Update Date | 01/31/2023 |
Medicare PECOS PAC ID | 4789715285 |
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Medicare Enrollment ID | O20100628000488 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699097436 | NPI | - | NPPES |
204415002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E-4136 (Arkansas) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | John Scribner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972672897 PECOS PAC ID: 0840281820 Enrollment ID: I20040519000763 |
Provider Name | Nathan W Turney |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346207115 PECOS PAC ID: 1759361421 Enrollment ID: I20040722001149 |
Provider Name | Debra D Wilhite |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992775878 PECOS PAC ID: 0749232452 Enrollment ID: I20050318000866 |
Provider Name | Bradley Ray Bibb |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700824307 PECOS PAC ID: 1254371032 Enrollment ID: I20050511000515 |
Provider Name | Mark Hahn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609895911 PECOS PAC ID: 3375584931 Enrollment ID: I20050513000647 |
Provider Name | Bilal Naeem |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316901994 PECOS PAC ID: 1951315811 Enrollment ID: I20060130000863 |
Provider Name | Brannon Anthony Treece |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588783666 PECOS PAC ID: 0345340956 Enrollment ID: I20070712000014 |
Provider Name | David G Fulghum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699881698 PECOS PAC ID: 4789666108 Enrollment ID: I20071210000308 |
Provider Name | Terri Moody |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750577698 PECOS PAC ID: 3678658473 Enrollment ID: I20080304000338 |
Provider Name | Matthew A Quick |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376739854 PECOS PAC ID: 1153485123 Enrollment ID: I20090206000032 |
Provider Name | Shane R Smith |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1538134572 PECOS PAC ID: 1557428364 Enrollment ID: I20100728001183 |
Provider Name | Ruth Skrapates |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407169162 PECOS PAC ID: 7012041239 Enrollment ID: I20100810000498 |
Provider Name | Christopher O Morgan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255397006 PECOS PAC ID: 2365344587 Enrollment ID: I20100825000726 |
Provider Name | Timothy C Paden |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992761555 PECOS PAC ID: 4587740725 Enrollment ID: I20101019001418 |
Provider Name | Hope E Rowe |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1629362892 PECOS PAC ID: 1355516725 Enrollment ID: I20111213000805 |
Provider Name | Susan L Mcdaniel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437410545 PECOS PAC ID: 8022265222 Enrollment ID: I20120823000090 |
Provider Name | Randi L Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740622497 PECOS PAC ID: 7517101546 Enrollment ID: I20130913000142 |
Provider Name | Mary A Pugh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831359082 PECOS PAC ID: 9739360504 Enrollment ID: I20140613000416 |
Provider Name | Jessica Wood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124432455 PECOS PAC ID: 8224254529 Enrollment ID: I20140723000053 |
Provider Name | Heron B Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932591617 PECOS PAC ID: 7517287972 Enrollment ID: I20150526002459 |
Provider Name | Jennifer Tetirick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093193823 PECOS PAC ID: 4981910486 Enrollment ID: I20150828001427 |
Provider Name | Jennifer Garrett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568845071 PECOS PAC ID: 9335456060 Enrollment ID: I20150914001386 |
Provider Name | Anne Mwenda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780041319 PECOS PAC ID: 9638474885 Enrollment ID: I20160225000945 |
Provider Name | Shannon J Pogue |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184082273 PECOS PAC ID: 0244535227 Enrollment ID: I20160301000196 |
Provider Name | Sara Dawn Bayird |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790136547 PECOS PAC ID: 9032401229 Enrollment ID: I20160708000652 |
Provider Name | Katie Beth Stucker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083065015 PECOS PAC ID: 0446543847 Enrollment ID: I20160722000658 |
Provider Name | Sheri N Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760834857 PECOS PAC ID: 6103113444 Enrollment ID: I20160929001701 |
Provider Name | Dedra A Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457801797 PECOS PAC ID: 7113207614 Enrollment ID: I20161129000603 |
Provider Name | Candice Brooke Caldwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457808362 PECOS PAC ID: 4082995329 Enrollment ID: I20161229000634 |
Provider Name | Courtney Mckinney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497299523 PECOS PAC ID: 2961785605 Enrollment ID: I20170203001302 |
Provider Name | Ashley Dawn Shrives |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003352444 PECOS PAC ID: 2466735824 Enrollment ID: I20170208002372 |
Provider Name | Joe T Hebert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184161895 PECOS PAC ID: 3971887886 Enrollment ID: I20170321001892 |
Provider Name | Lindsey R Sabatini |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1164956199 PECOS PAC ID: 7810274651 Enrollment ID: I20170504002220 |
Provider Name | Catherine S Miranda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093254294 PECOS PAC ID: 0941587653 Enrollment ID: I20170508000158 |
Provider Name | Elizabeth N Winningham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205362969 PECOS PAC ID: 5193092997 Enrollment ID: I20170526001755 |
Provider Name | Samuel A Nix |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780075473 PECOS PAC ID: 4587979315 Enrollment ID: I20170630000283 |
Provider Name | Richard M Landaverde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518496538 PECOS PAC ID: 5395014393 Enrollment ID: I20170707000320 |
Provider Name | April N Everhart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871032003 PECOS PAC ID: 8123399508 Enrollment ID: I20170803000211 |
Provider Name | Leigh Ann Ellis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649700063 PECOS PAC ID: 4284905167 Enrollment ID: I20170810003543 |
Provider Name | Christina A Marsh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053841155 PECOS PAC ID: 2365714615 Enrollment ID: I20170821002420 |
Provider Name | Rochelle Lee Kelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093238875 PECOS PAC ID: 6305119132 Enrollment ID: I20170830001216 |
Provider Name | Gina Marie Morgan |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1093949448 PECOS PAC ID: 0941487433 Enrollment ID: I20170908000254 |
Provider Name | Morgan Shirley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245752070 PECOS PAC ID: 0547535395 Enrollment ID: I20171005000032 |
Provider Name | Emile T Snyder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063930634 PECOS PAC ID: 4880960046 Enrollment ID: I20171017000684 |
Provider Name | Krystal Dawn Upshaw |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1285046896 PECOS PAC ID: 8325342173 Enrollment ID: I20171017000718 |
Provider Name | Keechia Gean Muse |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1942711783 PECOS PAC ID: 9739446147 Enrollment ID: I20171120001175 |
Provider Name | Rebecca K Coble |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013439082 PECOS PAC ID: 4486915246 Enrollment ID: I20180219002822 |
Provider Name | Danielle Renae Owens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467950501 PECOS PAC ID: 6901167584 Enrollment ID: I20180221002917 |
Provider Name | Sarah E Drum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669974499 PECOS PAC ID: 3870855398 Enrollment ID: I20180321002392 |
Provider Name | Angel Bynum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992291520 PECOS PAC ID: 4183971047 Enrollment ID: I20180724000437 |
Provider Name | Brandy N Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902382799 PECOS PAC ID: 9638427255 Enrollment ID: I20180730001870 |
Provider Name | Tammy J Hicks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821574641 PECOS PAC ID: 8224388954 Enrollment ID: I20180830001059 |
Provider Name | Lawrence A Weisenbach |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053891895 PECOS PAC ID: 4284984204 Enrollment ID: I20180912001074 |
Provider Name | Allison R Gragg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245712959 PECOS PAC ID: 4183969702 Enrollment ID: I20181228001779 |
Provider Name | Jennifer Anne Julian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184181216 PECOS PAC ID: 1052651874 Enrollment ID: I20190314000318 |
Provider Name | Jennifer Rose Mira |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346707981 PECOS PAC ID: 2163763061 Enrollment ID: I20190402001778 |
Provider Name | Ashley Benton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003389834 PECOS PAC ID: 9739420183 Enrollment ID: I20190411001296 |
Provider Name | Sandra Elaine Odom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669933370 PECOS PAC ID: 6204178023 Enrollment ID: I20190426001950 |
Provider Name | Anthony Vincent Ciaramitaro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649831041 PECOS PAC ID: 8820323462 Enrollment ID: I20190718000986 |
Provider Name | Alicia Marie Gates |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699336586 PECOS PAC ID: 9739415340 Enrollment ID: I20190719000370 |
Provider Name | Ellen Weseli Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104478585 PECOS PAC ID: 5092042382 Enrollment ID: I20190808003450 |
Provider Name | Brandee Michelle Munn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851947832 PECOS PAC ID: 2567792948 Enrollment ID: I20190927000654 |
Provider Name | Jan M Scantling |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770143604 PECOS PAC ID: 0840521498 Enrollment ID: I20191011001358 |
Provider Name | Alexandria K Crocker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033674049 PECOS PAC ID: 4284975889 Enrollment ID: I20191022001129 |
Provider Name | James Ryan Carroll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669012878 PECOS PAC ID: 2860829272 Enrollment ID: I20200225001112 |
Provider Name | Tanya Shay Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093347791 PECOS PAC ID: 4981033453 Enrollment ID: I20200403001752 |
Provider Name | Katie Amber Webb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932737228 PECOS PAC ID: 6800225160 Enrollment ID: I20200407003852 |
Provider Name | Jessica Lee Vognet |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639799240 PECOS PAC ID: 8820429871 Enrollment ID: I20200507002451 |
Provider Name | Holly Lynn Hester |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275159295 PECOS PAC ID: 2062837578 Enrollment ID: I20200730003635 |
Provider Name | Wanda Faye Mooney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316557705 PECOS PAC ID: 5698190684 Enrollment ID: I20200807001805 |
Provider Name | Gretchin Cooper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629688247 PECOS PAC ID: 2365868577 Enrollment ID: I20200819000943 |
Provider Name | Brandi Lyn Pinn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750789178 PECOS PAC ID: 3577973445 Enrollment ID: I20201104000636 |
Provider Name | Shandi Lynn Oneal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659987527 PECOS PAC ID: 0042620940 Enrollment ID: I20201104001953 |
Provider Name | Dana D Fryman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841798105 PECOS PAC ID: 7012270309 Enrollment ID: I20201110000100 |
Provider Name | Kimberly German |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972825545 PECOS PAC ID: 1153561014 Enrollment ID: I20210310000707 |
Provider Name | Linzy Gavin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881285336 PECOS PAC ID: 8527475086 Enrollment ID: I20210329002090 |
Provider Name | Brooke Knapp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134705916 PECOS PAC ID: 0547678302 Enrollment ID: I20210415000394 |
Provider Name | Brittany Lovick |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548841745 PECOS PAC ID: 9032527551 Enrollment ID: I20210422001850 |
Provider Name | Anastasia Desiree Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295209500 PECOS PAC ID: 1759780547 Enrollment ID: I20210527001516 |
Provider Name | Mckenna Wright |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1588291074 PECOS PAC ID: 6507260817 Enrollment ID: I20210809003482 |
Provider Name | Margaret L Pierce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942974829 PECOS PAC ID: 5698170066 Enrollment ID: I20210823003004 |
Provider Name | Malgorzata Stramel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821674193 PECOS PAC ID: 3779989405 Enrollment ID: I20210903002857 |
Provider Name | Lindsey P Dunn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962167874 PECOS PAC ID: 4587054333 Enrollment ID: I20211209001576 |
Provider Name | Courtney Linn Cavender |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902421175 PECOS PAC ID: 6709201627 Enrollment ID: I20220124001487 |
Provider Name | Jill Lorraine Thitoff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205589058 PECOS PAC ID: 5799170791 Enrollment ID: I20220309001445 |
Provider Name | Thomas Collier Head |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639824956 PECOS PAC ID: 8820483324 Enrollment ID: I20220321000386 |
Provider Name | Shalese Ladawne Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295348027 PECOS PAC ID: 3072907120 Enrollment ID: I20220425001452 |
Provider Name | Destiny Yvonne Frazier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164175303 PECOS PAC ID: 2062890049 Enrollment ID: I20220602002821 |
Provider Name | Carolyn Hart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477190759 PECOS PAC ID: 6800276122 Enrollment ID: I20220705001683 |
Provider Name | Stephanie Eagle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689394520 PECOS PAC ID: 9830574524 Enrollment ID: I20220915003704 |
Provider Name | Laura Michelle Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033839931 PECOS PAC ID: 6406231125 Enrollment ID: I20220916000891 |
Provider Name | Staci Rachelle Cochran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508337643 PECOS PAC ID: 4789069428 Enrollment ID: I20220916001919 |
Provider Name | Taylor O Rittman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831807650 PECOS PAC ID: 4183093024 Enrollment ID: I20221215000503 |
Provider Name | Audrey R Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487390118 PECOS PAC ID: 4385014083 Enrollment ID: I20221221000344 |
Provider Name | Jamye Nichole Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881319366 PECOS PAC ID: 4587035357 Enrollment ID: I20230116000169 |
Provider Name | Angie Marie Knight |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588395396 PECOS PAC ID: 5597112078 Enrollment ID: I20231104000519 |
Provider Name | Ashley Brooke Merritt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164208021 PECOS PAC ID: 9739536251 Enrollment ID: I20231106001063 |
Provider Name | Mckinsea Dawn Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932963386 PECOS PAC ID: 8527403310 Enrollment ID: I20240304000341 |
Provider Name | April D Perry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790260081 PECOS PAC ID: 9638422108 Enrollment ID: I20240313001206 |
D/b/a Brmc Ash Flat Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 Ash Flat Dr, Ash Flat, AR 72513 Phone: 870-994-7301 Fax: 870-994-7488 | |
Brmc Ash Flat Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 Ash Flat Dr, Ash Flat, AR 72513 Phone: 870-994-7301 | |
1st Choice Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 Highway 62 W, Ash Flat, AR 72513 Phone: 870-994-2202 Fax: 870-994-2328 |