BIENVILLE SURGERY CENTER LLC NPI 1417405812

NPI Information

  • NPI: 1417405812
  • Provider Name: BIENVILLE SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 6300 EAST LAKE BLVD.
    SUITE 102
    VANCLEAVE, MS
    ZIP 39565
  • Phone: (228) 447-4630

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NPI Details

BIENVILLE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Vancleave, MS. BIENVILLE SURGERY CENTER, LLC NPI is 1417405812. The provider is registered as an organization entity type.

The provider's business location address is:

6300 EAST LAKE BLVD.
SUITE 102
VANCLEAVE, MS
ZIP 39565-771
Phone: (228) 447-4630
Fax: (228) 206-2108

The provider's authorized official is Lee Bond .
The authorized official title is Ceo and has the following contact phone number (228) 230-2663.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
  • Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
  • Injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level (HCPCS:0627T)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Release of tendon connecting biceps muscle and shoulder using an endoscope (HCPCS:29828)
  • Release of wrist ligament using an endoscope (HCPCS:29848)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance (HCPCS:64454)

The enumeration date for this NPI number is 9/14/2016 and was last updated on 8/15/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 3/30/2025

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