Organization · Type 2 NPI

Bolivar Physician Practices LLC

Family Medicine Physician · Cleveland, MS

NPI number 1043454655 Active

Practice location

810 E Sunflower Rd, Ste. 100A
Cleveland, MS 38732-2800

Call (662) 843-8885 Map

Fax (662) 843-2280

Mailing address

810 E Sunflower Rd Ste 100A
Cleveland, MS 38732-2828

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Urology Physician 208800000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1043454655

Bolivar Physician Practices LLC's National Provider Identifier is 1043454655, issued on Apr 27, 2009. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Cleveland, MS. The record was last updated on Jun 4, 2026.