BRADFORD RIVER BEND, LLC
NPI 1194569855
Clinic/Center - Rehabilitation, Substance Use Disorder in Gautier, MS
About Bradford River Bend, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADFORD RIVER BEND, LLC (NPI 1194569855), doing business as The Estate At River Bend, is a healthcare organization registered as a rehabilitation, substance use disorder in Gautier, Mississippi and active in the NPI registry since June 2024. The organization lists Mark Edwards, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2307871
Bradford River Bend · Gautier, MSFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bradford River Bend, LLC's NPI number?
The NPI number for Bradford River Bend, LLC is 1194569855. It was assigned to this organization in the NPPES registry on June 19, 2024. The provider is doing business as The Estate at River Bend.
Where is Bradford River Bend, LLC located?
Bradford River Bend, LLC is located at 330 Highway 90, Gautier, MS 39553. The listed phone number is (601) 791-5135.
What is Bradford River Bend, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
What insurance does Bradford River Bend, LLC accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Bradford River Bend, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bradford River Bend, LLC was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bradford River Bend, Llc · NPI 1194569855
Rehabilitation, Substance Use Disorder organization in Gautier, Mississippi. Organization record, active in the CMS NPPES registry since June 19, 2024.
## Identity
- **NPI:** 1194569855 (Entity type: Organization)
- **Enumerated:** June 19, 2024
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Also known as:** The Estate at River Bend (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Mark Edwards, CFO
## Practice location
- **Address:** 330 HIGHWAY 90, Gautier, MS 39553-5705
- **Phone:** (601) 791-5135
## Record status
- **NPPES last updated:** February 23, 2026
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1194569855) · Data from the CMS NPPES public registry.