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BIENVILLE ORTHOPAEDIC SPECIALISTS LLC NPI 1316366503


NPI Information

NPI: 1316366503
Provider Name: BIENVILLE ORTHOPAEDIC SPECIALISTS LLC
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
1720A MEDICAL PARK DR STE 220
BILOXI, MS
ZIP 39532
Phone: (228) 546-3254
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BIENVILLE ORTHOPAEDIC SPECIALISTS LLC is a non pharmacy dispensing site in Biloxi, MS. The provider is 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.) BIENVILLE ORTHOPAEDIC SPECIALISTS LLC NPI is 1316366503. The provider is registered as an organization entity type.

The provider's business location address is:

1720A MEDICAL PARK DR STE 220
BILOXI, MS
ZIP 39532-127
Phone: (228) 546-3254
Fax: (228) 396-2507

The provider's authorized official is Jeff Wayne Rollins .
The authorized official title is Mannager and has the following contact phone number (228) 546-3254.

The enumeration date for this NPI number is 4/15/2014 and was last updated on 4/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing Site19613MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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