BOLIVAR PHYSICIAN PRACTICES LLC (NPI# 1629379078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629379078 |
| Entity Type | Organization |
| Organization Name | BOLIVAR PHYSICIAN PRACTICES LLC |
| Other Organization Name | DELTA NEUROLOGY CENTER |
| Practice Address |
903 East Sunflower Rd Suite 400 Cleveland MS 38732-2551 |
| Practice Telephone | 6628465687 |
| Practice Fax Number | 6628462891 |
| Mailing Telephone | 6628465687 |
| Mailing Fax Number | 6628462891 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-23 |
| Authorized Official Name | DAVID M DILL (DIRECTOR/OFFICER) |
| Authorized Official Telephone | 6628465687 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFEPOINT HOSPITALS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Delta Neurology Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386076800 | Bolivar Physician Practices LLC | Otolaryngology | 903 E Sunflower Rd, Suite 400, Cleveland, MS 38732-2835 | 2013-08-07 |
| 1376787556 | Bolivar Physician Practices LLC | Family Medicine | 218 N Pearman Ave, Cleveland, MS 38732-2634 | 2009-05-01 |
| 1205489689 | Bolivar Physician Practices LLC | Clinic/Center | 512 Levee St, Rosedale, MS 38769-5507 | 2019-07-24 |
| 1316388416 | Bolivar Physician Practices LLC | Urology | 907 E Sunflower Rd, Suite 103, Cleveland, MS 38732-2830 | 2013-07-17 |
| 1043454655 | Bolivar Physician Practices LLC | Internal Medicine | 810 E Sunflower Rd, Ste. 100a, Cleveland, MS 38732-2800 | 2009-04-27 |
| 1063659530 | Bolivar Physician Practices LLC | Orthopaedic Surgery | 907 E Sunflower Rd, Suite 102, Cleveland, MS 38732-2830 | 2009-01-20 |
| Street Address |
903 EAST SUNFLOWER RD SUITE 400 |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632641 | Premier Neurology LLC | Psychiatry & Neurology | 1730 W 25th St Ste 3a, Cleveland, OH 44113-3108 | 2019-01-10 |
| 1184075491 | Marek Cierny | Psychiatry & Neurology | 9500 Euclid Ave # S80, Cleveland, OH 44195-3522 | 2016-06-28 |
| 1831591510 | Patrick Chauvel | Psychiatry & Neurology | Cleveland Clinic Epilepsy Ctr, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2014-09-24 |
| 1538424072 | East Tn Neurology LLC | Psychiatry & Neurology | 2253 Chambliss Ave. Nw, Suite 405, Cleveland, TN 37311-3861 | 2012-07-11 |
| 1720341340 | Brandon Moss | Psychiatry & Neurology | 9500 Euclid Ave # U-10, Cleveland, OH 44195 | 2012-06-19 |
| 1225394703 | Kedar Mahajan | Psychiatry & Neurology | Mellen Ctr, 9500 Euclid Ave Mail Code U-10, Cleveland, OH 44195-0001 | 2012-04-09 |
| 1902190143 | Jessica Rochelle Fesler | Psychiatry & Neurology | 9500 Euclid Ave # S51, Cleveland, OH 44195-5023 | 2011-06-06 |
| 1316247364 | Adham Jammoul | Psychiatry & Neurology | 11328 Euclid Ave Apt 502, Cleveland, OH 44106-5108 | 2010-10-25 |
| 1720318355 | Hesham Ahmed Abboud | Psychiatry & Neurology | 9500 Euclid Avenue, Desk U10, Cleveland Clinic, Cleveland, OH 44195-0001 | 2010-01-04 |
| 1033342662 | University Hospitals Medical Group, Inc. | Psychiatry & Neurology | 2181 Ambleside Road, Cleveland, OH 44106 | 2009-08-31 |
| Find all providers in CLEVELAND | ||||
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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.