HomeNPI Verification

NPI Verification

National Provider Identifier: 1043454655

Bolivar Physician Practices LLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (7)

Family Medicine

Code: 207Q00000X

Primary

Internal Medicine

Code: 207R00000X

Orthopaedic Surgery

Code: 207X00000X

Otolaryngology

Code: 207Y00000X

Urology

Code: 208800000X

Physician Assistant

Code: 363A00000X

Nurse Practitioner

Code: 363L00000X

Practice Address

810 E SUNFLOWER RD

STE. 100A

CLEVELAND, MS 387322800

Phone: 662-843-8885

NPI Enumeration Date

April 27, 2009

NPI Number

1043454655

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry