Bolivar Physician Practices LLC
NPI 1063659530 · Orthopaedic Surgery Physician · Cleveland, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bolivar Physician Practices LLC is a Orthopaedic Surgery Physician organization in Cleveland, MS (NPI 1063659530).
Provider details
- NPI number
- 1063659530
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charlotte Lawrence, Secretary(615) 920-7000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bolivar Orthopedics
Registry dates
- Enumerated
- 2009-01-20
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Frequently asked questions
- What is Bolivar Physician Practices LLC's NPI number?
- Bolivar Physician Practices LLC's National Provider Identifier (NPI) is 1063659530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bolivar Physician Practices LLC?
- Bolivar Physician Practices LLC is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Bolivar Physician Practices LLC located?
- Bolivar Physician Practices LLC's practice location on file with NPPES is 907 E Sunflower Rd, Cleveland, MS 38732-2830.
- What is Bolivar Physician Practices LLC's phone number?
- The practice phone number listed in the NPPES registry for Bolivar Physician Practices LLC is (662) 843-8885.
- Does Bolivar Physician Practices LLC accept Medicare?
- Bolivar Physician Practices LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bolivar Physician Practices LLC?
- The authorized official listed on Bolivar Physician Practices LLC's NPPES record is Charlotte Lawrence, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bolivar Physician Practices LLC's NPI active?
- Yes — Bolivar Physician Practices LLC's NPI (1063659530) is active in the NPPES registry as of the last update on 2026-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.