BOLIVAR UROLOGY CLINIC – NPI #1316388416
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

BOLIVAR UROLOGY CLINIC is an urologist located in CLEVELAND, MS. NPPES has assigned the NPI number 1316388416 to BOLIVAR UROLOGY CLINIC on July 17, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOLIVAR UROLOGY CLINIC” is a dba name, the actual legal business name for this organization is BOLIVAR PHYSICIAN PRACTICES LLC. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

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 UROLOGY CLINIC below.

NPI Profile for
BOLIVAR PHYSICIAN PRACTICES LLC

NPI Number
1316388416
Enumeration Date

(about 13 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
Doing Business As (dba): BOLIVAR UROLOGY CLINIC
Primary location
907 E SUNFLOWER RD
SUITE 103
CLEVELAND, MS 38732-2830
Phone: (662) 846-9990 Fax: (662) 846-5444
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JESS JUDY
PRESIDENT
Phone: (615) 565-1508
Updated
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.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)

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.