Bienville Orthopaedic Specialists, LLC
Organization Active NPI Orthopaedic Surgery Physician · Hurley, MS
NPI 1275764110 · NPPES record last updated Sep 7, 2023
Key facts
- NPI
- 1275764110
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC
- Practice address
- 7001 Hwy 614
Hurley, MS 39555 - Phone
- (228) 230-2663
- NPI assigned
- Jul 27, 2009
- Organization subpart
- No
Authorized official
- Name
- Lee Bond
- Title
- Ceo
- Phone
- (228) 230-2663
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 5
Practitioners 44
-
Lennon E. Bowen IV, M.D.
-
Karen Veronica Carlisle-Bond, FNP-C
-
Yen Chou Joe Chen, M.D.
-
Kelly Marcus Coleman, M.D.
-
Joseph Tyler Cox, M.D.
-
Amanda J Galle, NP
-
Kristina M Garlotte, FNP-C
-
Bailey M Garriga, FNP-C
-
Eric J Graham, MD
-
Michelle L Graham, CFNP
-
Haley Griffin, FNP-C
-
Jacqueline C Hode, CFNP
-
Ashley Johnson, PA
-
Angela N Jones, CFNP
-
Jennifer L Jurich, NP-C
-
Rosemarie E Landry, CFNP
-
Henry Theodore Leis, M.D.
-
Matthew Wesley Lewis, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930033981 | MS | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 0547155178 | Practice locations: Hurley, MS |
National Provider Directory
- Tax ID family
- Bienville Orthopaedic S
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
7001 Hwy 614
Hurley, MS 39555
Mailing address
6300 E Lake Blvd Ste 301
Vancleave, MS 39565-6771
Phone (228) 230-2663
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07338588 | Medicaid | MS |
Other providers in Hurley, MS
- Ashley Williams Becker
- Domonique Nikki Cochran
- Amely Yeiliz Guzman
- Holmac Inc
- Mississippi CVS Pharmacy, L.L.C.
- Caitlyn Newsome
All providers in Hurley, MS · Orthopaedic Surgery Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.