BOLIVAR PHYSICIAN PRACTICES LLC – NPI #1043454655
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BOLIVAR PHYSICIAN PRACTICES LLC is a provider located in CLEVELAND, MS. NPPES has assigned the NPI number 1043454655 to BOLIVAR PHYSICIAN PRACTICES LLC on April 27, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 2 years ago on Jun 03, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BOLIVAR PHYSICIAN PRACTICES LLC below.

NPI Profile for
BOLIVAR PHYSICIAN PRACTICES LLC

NPI Number
1043454655
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BOLIVAR PHYSICIAN PRACTICES LLC
Primary location
810 E SUNFLOWER RD
STE. 100A
CLEVELAND, MS 38732-2800
Phone: (662) 843-8885 Fax: (662) 843-2280
Mailing address
810 E SUNFLOWER RD STE 100A
CLEVELAND, MS 38732-2828
Phone: Fax:
Organization Subpart
Yes - BOLIVAR PHYSICIAN PRACTICES LLC is subpart of another organization.
Authorized Official
KATHY TEAGUE
VP, CORPORATE SECRETARY
Phone: (629) 253-5121
Updated
Certification Date
Jun 03, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.