Bradford River Bend, LLC
NPI 1194569855 · Substance Use Disorder Rehabilitation Clinic/Center · Gautier, MS
Bradford River Bend, LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Gautier, MS (NPI 1194569855).
Provider details
- NPI number
- 1194569855
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Edwards, Cfo(205) 244-8112
Specialties & taxonomies
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- The Estate at River Bend
Registry dates
- Enumerated
- 2024-06-19
- Last updated
- 2026-02-23
- Certified
- 2026-02-23
Frequently asked questions
- What is Bradford River Bend, LLC's NPI number?
- Bradford River Bend, LLC's National Provider Identifier (NPI) is 1194569855, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bradford River Bend, LLC?
- Bradford River Bend, LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bradford River Bend, LLC located?
- Bradford River Bend, LLC's practice location on file with NPPES is 330 Highway 90, Gautier, MS 39553-5705.
- What is Bradford River Bend, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bradford River Bend, LLC is (601) 791-5135.
- Who is the authorized official for Bradford River Bend, LLC?
- The authorized official listed on Bradford River Bend, LLC's NPPES record is Mark Edwards, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bradford River Bend, LLC's NPI active?
- Yes — Bradford River Bend, LLC's NPI (1194569855) is active in the NPPES registry as of the last update on 2026-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.