BIENVILLE ORTHOPAEDIC SPECIALISTS LLC (NPI# 1316366503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316366503 |
| Entity Type | Organization |
| Organization Name | BIENVILLE ORTHOPAEDIC SPECIALISTS LLC |
| Practice Address |
1720a Medical Park Dr Ste 220 Biloxi MS 39532-2127 |
| Practice Telephone | 2285463254 |
| Practice Fax Number | 2283962507 |
| Mailing Telephone | 2285463254 |
| Mailing Fax Number | 2283962507 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Authorized Official Name | JEFF WAYNE ROLLINS (MANNAGER) |
| Authorized Official Telephone | 2285463254 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 19613 | MS | Suppliers |
| Street Address |
1720A MEDICAL PARK DR STE 220 |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275732596 | Bernard J Meadows Jr. | Podiatrist | 1720a Medical Park Dr Ste 220, Biloxi, MS 39532-2127 | 2007-07-17 |
| 1942771910 | Megan Elizabeth Davis | Nurse Practitioner | 1720a Medical Park Dr Ste 220, Biloxi, MS 39532-2127 | 2018-12-16 |
| 1235520693 | Tony Nguyen Cao | Physician Assistant | 1720a Medical Park Dr Ste 220, Biloxi, MS 39532 | 2015-02-06 |
| 1821344771 | Stephen Lee Ryder | Physician Assistant | 1720a Medical Park Dr Ste 220, Biloxi, MS 39532-2127 | 2012-07-30 |
| 1265727465 | Jonathan Dwaine Brown | Orthopaedic Surgery | 1720a Medical Park Dr Ste 220, Biloxi, MS 39532-2127 | 2011-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1285177543 | Gastroenterology Center of The Midsouth PC | Non-Pharmacy Dispensing Site | 7668b Airways Blvd, Southaven, MS 38671-5304 | 2016-11-18 |
| 1114373586 | Gentex Pharma | Non-Pharmacy Dispensing Site | 121 Marketridge Dr, Suite C, Ridgeland, MS 39157-6027 | 2016-05-04 |
| 1952783078 | Mom 2 Be, LLC | Non-Pharmacy Dispensing Site | 449 Wilkins Wise Rd, Columbus, MS 39705-1756 | 2015-06-25 |
| 1982176426 | Brian Shwer, Dpm | Non-Pharmacy Dispensing Site | 564 Goodman Rd E, Southaven, MS 38671-9526 | 2018-12-21 |
| 1790269439 | Pain Consultants of Alabama, LLC | Non-Pharmacy Dispensing Site | 4105 Hospital Road, Ste 112b, Pascagoula, MS 39581 | 2018-09-19 |
| 1295161404 | Mississippi Orthopaedic Institute | Non-Pharmacy Dispensing Site | 15190 Community Rd Ste 120, Gulfport, MS 39503-3484 | 2013-09-19 |
| 1679826945 | Sotolongo Clinic, Pa | Non-Pharmacy Dispensing Site | 731 S Pear Orchard Rd, Suite 7, Ridgeland, MS 39157-4800 | 2012-10-23 |
| 1578613188 | Urgent Medical Clinic Inc | Non-Pharmacy Dispensing Site | 176 Goodman Rd W, Southaven, MS 38671-9405 | 2007-01-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.