NPIMap

Organization Active NPI

Bienville Orthopaedic Specialists LLC

  • Non-Pharmacy Dispensing Site
  • Biloxi, MS
National Provider Identifier
1316366503
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
19613 Issued in MS
Legal business name
BIENVILLE ORTHOPAEDIC SPECIALISTS LLC
Practice address
1720A Medical Park Dr Ste 220
Biloxi, MS 39532-2127
Phone
(228) 546-3254
Fax
(228) 396-2507
NPI assigned
Apr 15, 2014
Last updated
Apr 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeff Wayne Rollins
Title
Mannager
Phone
(228) 546-3254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X 19613 MS Primary

Addresses

Primary practice location

1720A Medical Park Dr Ste 220
Biloxi, MS 39532-2127

Mailing address

1720A Medical Park Dr Ste 220
Biloxi, MS 39532-2127
Phone (228) 546-3254

National Provider Directory

National Provider Directory
Tax ID family
Bienville Orthopaedic S9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1720A Medical Park Dr
Ste 220
Biloxi, MS 39532
Phone (228) 392-9355

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1628

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1316366503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720A MEDICAL PARK DR STE 220",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322127",
            "telephone_number": "228-546-3254",
            "fax_number": "228-396-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720A MEDICAL PARK DR STE 220",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322127",
            "telephone_number": "228-546-3254",
            "fax_number": "228-396-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENVILLE ORTHOPAEDIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MANNAGER",
        "authorized_official_telephone_number": "228-546-3254"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MS",
            "license": "19613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.