BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC (NPI# 1902036973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902036973 |
Entity Type | Organization |
Organization Name | BIENVILLE ORTHOPAEDIC SPECIALISTS, LLC |
Practice Address |
1720a Medical Park Dr Suite 220 Biloxi MS 39532-2129 |
Mailing Address |
6300 E Lake Blvd Ste 301 Vancleave MS 39565-6771 |
Practice Telephone | 2283929355 |
Mailing Telephone | 2282302663 |
Mailing Fax Number | 2282066398 |
Enumeration Date | 2009-07-23 |
Last Update Date | 2019-12-11 |
Authorized Official Name | DEAN THIGPEN (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2282302663 |
Authorized Official Credential | CPA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 07338588 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689605834 | Bienville Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 6300 East Lake Blvd., Suite 201, Vancleave, MS 39565-6771 | 2006-07-05 |
1578029070 | Bienville Orthopaedic Specialists, LLC | Physical Therapist | 6300 East Lake Blvd., Suite 201, Vancleave, MS 39565-6771 | 2019-02-20 |
1275764110 | Bienville Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 7001 Hwy 614, Hurley, MS 39555 | 2009-07-27 |
1689804668 | Bienville Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 | 2009-07-23 |
1427288497 | Bienville Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 3615 Hospital St, Pascagoula, MS 39581-4112 | 2009-07-23 |
Street Address |
1720A MEDICAL PARK DR SUITE 220 |
City | BILOXI |
State | MS |
Zip Code | 39532-2129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689678674 | Jack W Brand Jr. | Internal Medicine | 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532-2129 | 2005-06-08 |
1407304801 | Rachael Hines | Physical Therapist | 1720a Medical Park Dr, Suite 210, Biloxi, MS 39532-2129 | 2016-09-14 |
1144776386 | Alisha Farrish | Physical Therapist | 1720a Medical Park Dr, Suite 210, Biloxi, MS 39532-2129 | 2016-08-28 |
1942691415 | Gai Truong | Pharmacist | 1720a Medical Park Dr, Suite 160, Biloxi, MS 39532-2129 | 2015-02-05 |
1679961270 | Duc Vinh Nguyen | Nurse Practitioner | 1720a Medical Park Dr, Suite 220, Biloxi, MS 39532-2129 | 2015-01-05 |
1891119715 | Deborah Thompson-spencer | Nurse Practitioner | 1720a Medical Park Dr, Biloxi, MS 39532-2129 | 2014-02-12 |
1275893273 | Ashley Mcshurley | Nurse Practitioner | 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532-2129 | 2012-05-23 |
1215225636 | Aesthetic Surgery Center Ltd | Plastic Surgery | 1720a Medical Park Dr, Suite 140, Biloxi, MS 39532-2129 | 2011-07-19 |
1598067340 | Jan Van Truong | Chiropractor | 1720a Medical Park Dr, 160b, Biloxi, MS 39532-2129 | 2010-11-30 |
1558693192 | Hebe Diaz M.d. Pllc | Clinic/Center | 1720a Medical Park Dr, Suite 130c, Biloxi, MS 39532-2129 | 2010-02-08 |
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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 | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831320829 | Robert L Kimber | Orthopaedic Surgery | 45 Hardy Court, Suite 202, Biloxi, MS 39532-2109 | 2009-08-07 |
1124225214 | Dudley Burwell, Md, Pllc | Orthopaedic Surgery | 2781 Ct Switzer Rd, Ste 402, Biloxi, MS 39531 | 2007-07-02 |
1801895164 | Dudley S Burwell Jr. | Orthopaedic Surgery | 2781 Ct Switzer Sr Drive, Suite 402, Biloxi, MS 39531-4535 | 2005-07-19 |
1316350382 | Thomas T Wood | Orthopaedic Surgery | 301 Fisher St, Dept of Orthopaedic Surgery, Biloxi, MS 39534-2508 | 2014-06-08 |
1427476902 | James Anderson Dollahite | Orthopaedic Surgery | 301 Fisher St, Biloxi, MS 39534 | 2014-04-02 |
1265727465 | Jonathan Dwaine Brown | Orthopaedic Surgery | 1720a Medical Park Dr Ste 220, Biloxi, MS 39532-2127 | 2011-06-15 |
1275848178 | Memorial Hospital At Gulfport | Orthopaedic Surgery | 2781 C T Switzer Sr Dr, Suite 402, Biloxi, MS 39531-4536 | 2010-08-16 |
1932223542 | Yekaterina Karpitskaya | Orthopaedic Surgery | 1720a Medical Park Dr, Suite 220, Biloxi, MS 39532-2129 | 2007-03-19 |
1912068677 | Joel A Tucker | Orthopaedic Surgery | 1720a Medical Park Dr, Suite 220, Biloxi, MS 39532-2129 | 2006-12-13 |
1730198813 | Reginald Eugene Bass | Orthopaedic Surgery | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-08-06 |
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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.