BOLIVAR PHYSICIAN PRACTICES LLC
NPI 1063659530
Orthopaedic Surgery in Cleveland, MS

Q: What is Bolivar Physician Practices LLC's NPI number?

The NPI number for Bolivar Physician Practices LLC is 1063659530. It was assigned to this organization in the NPPES registry on January 20, 2009. The provider is doing business as Bolivar Orthopedics.

Q: What is Bolivar Physician Practices LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since January 20, 2009

907 E SUNFLOWER RD, SUITE 102, CLEVELAND, MS 38732(662) 843-8885(662) 843-2280 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Bolivar Physician Practices Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOLIVAR PHYSICIAN PRACTICES LLC (NPI 1063659530), doing business as Bolivar Orthopedics, is a healthcare organization registered as an orthopaedic surgery in Cleveland, Mississippi and active in the NPI registry since January 2009. The organization lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1063659530

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameBOLIVAR PHYSICIAN PRACTICES LLC

Location Address907 E SUNFLOWER RD, SUITE 102Cleveland, MS 38732-2830

Mailing Address907 E Sunflower Rd Ste 102Cleveland, MS 38732-2830 · (662) 843-8885 · Fax (662) 843-2280

Phone(662) 843-8885

Fax(662) 843-2280

Organization SubpartNo

Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000

Enumeration DateJanuary 20, 2009

Last NPPES UpdateJune 4, 2026

NPPES CertifiedJune 4, 2026

✔ NPI 1063659530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

907 E SUNFLOWER RD, Cleveland, MS 38732

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Other Names 1

Doing Business AsBolivar Orthopedics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bolivar Physician Practices Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 42 clinicians reassign Medicare billing to Bolivar Physician Practices LLC, which bills Medicare for the services they deliver. Of these, 19 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner15

Obstetrics/Gynecology7

General Surgery6

Family Practice5

Internal Medicine4

Orthopedic Surgery3

Thoracic Surgery1

Urology1

Nearest to this location (20)

See all 42

Derek Miles, MD

Urology

NPI 1407887391

907 E SUNFLOWER RD SUITE 103
Cleveland, MS 38732

(662) 846-9990