Bienville Orthopaedic Specialists, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC

Practice address

15476 Dedeaux Rd
Suite B
Gulfport, MS 39503-2637

Phone

(228) 230-2663

NPI assigned

Jul 23, 2009

Organization subpart

No

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

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Bienville Orthopaedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Hurley, MS
  • NPI 1275764110

  0547155178

  Same PAC ID
• Bienville Orthopaedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Pascagoula, MS
  • NPI 1427288497

  0547155178

  Same PAC ID
• Bienville Orthopaedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Vancleave, MS
  • NPI 1689605834

  0547155178

  Same PAC ID
• Bienville Orthopaedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Biloxi, MS
  • NPI 1902036973

  0547155178

  Same PAC ID
• Bienville Orthopaedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Grand Bay, AL
  • NPI 1659269454

  0547155178

  Same PAC ID

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Bienville Therapy, LLC

  • Physical Therapist
  • Gulfport, MS
  • NPI 1477319051

  Member Of

  NPD member
• Bienville Therapy, LLC

  • Physical Therapist
  • Vancleave, MS
  • NPI 1720844392

  Member Of

  NPD member

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1689804668",
    "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": "15476 DEDEAUX RD",
            "address_2": "SUITE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032637",
            "telephone_number": "228-230-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07338588",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Lyn Berry, NP
• Bertucci Eye Care
• Philip L Bertucci, MD
• Elizabeth Evans Beverly, R.N.
• Jennifer Bickel
• Bienville Therapy, LLC
• Bio-Medical Applications of Mississippi, Inc.
• Bio-Medical Applications of Mississippi, Inc.
• Bio-Medical Applications of Mississippi, Inc.
• Barbara Morgan Bishop

• Orthopaedic Surgery Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Orthopaedic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.