Bolivar Physician Practices LLC
NPI 1063659530ActiveOrganization· Orthopaedic Surgery· Cleveland, MS
Orthopaedic Surgery in Cleveland, Mississippi, registered in NPPES in January 2009. The authorized official on file is Charlotte Lawrence, Secretary. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063659530 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 20, 2009 |
| Last updated in NPPES | Jun 4, 2026 |
| Certified by provider | Jun 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
Other Orthopaedic Surgery providers in Cleveland
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