OrganizationActive
Bolivar Physician Practices LLC
NPI 1316388416 · Urology Physician · Cleveland, MS
Provider details
- NPI number
- 1316388416
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charlotte Lawrence, Secretary(615) 920-7000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
907 E Sunflower Rd
Suite 103
Cleveland, MS 38732-2830
Phone: (662) 846-9990
Fax: (662) 846-5444
Street-level locationGet directions
Mailing address
907 E Sunflower Rd Ste 103
Cleveland, MS 38732-2830
Other names (DBA / former)
- Doing business as
- Bolivar Urology Clinic
Registry dates
- Enumerated
- 2013-07-17
- Last updated
- 2026-06-04
- Certified
- 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.