Provider Demographics
NPI:1992116396
Name:BIGGERS, BRADLEY NEWTON (MD)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:NEWTON
Last Name:BIGGERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 EAST CENTRAL
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:AR
Mailing Address - Zip Code:71671
Mailing Address - Country:US
Mailing Address - Phone:870-226-8636
Mailing Address - Fax:870-226-8655
Practice Address - Street 1:304 E CENTRAL ST.
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:AR
Practice Address - Zip Code:71671
Practice Address - Country:US
Practice Address - Phone:870-226-8636
Practice Address - Fax:870-226-8655
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-10659207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine