Active NPI
Bienville Orthopaedic Specialists, LLC
- Orthopaedic Surgery Physician
- Biloxi, MS
National Provider Identifier
1679485668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC
- Practice address
- 1720A Medical Park Dr Ste 130B
Biloxi, MS 39532-2127 - Phone
- (228) 230-2663
- NPI assigned
- Sep 22, 2026
- Last updated
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee Bond
- Title
- Ceo
- Phone
- (228) 230-2663
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU |
Addresses
Primary practice location
1720A Medical Park Dr Ste 130B
Biloxi, MS 39532-2127
Mailing address
6300 E Lake Blvd Ste 301
Vancleave, MS 39565-6771
Phone (228) 230-2663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007338588 | Medicaid | MS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1679485668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 E LAKE BLVD STE 301",
"city": "VANCLEAVE",
"state": "MS",
"postal_code": "395656771",
"telephone_number": "228-230-2663",
"fax_number": "228-206-6398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720A MEDICAL PARK DR STE 130B",
"city": "BILOXI",
"state": "MS",
"postal_code": "395322127",
"telephone_number": "228-230-2663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-22",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "BOND",
"authorized_official_first_name": "LEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "228-230-2663"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007338588",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Biloxi, MS
- Dipali Patel Bhakta, M.S., CCC-SLP
- Trevor Bickford, DO
- Sanzettra Biel, LSW
- Bienville Orthopaedic Specialists LLC
- Bienville Orthopaedic Specialists, LLC
- Bienville Orthopaedic Specialists, LLC
- Bienville Orthopaedic Specialists, LLC
- Bienville Orthopedic Specialists
- Bienville Therapy, LLC
- Biloxi Anesthesiology, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.