Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bolivar Physician Practices LLC

Organization Family Medicine Physician · NPI 1043454655

Bolivar Physician Practices LLC is a Family Medicine Physician in Cleveland, Mississippi. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

810 E Sunflower Rd Ste 100A
Cleveland, MS 38732-2800
Phone: (662) 843-8885
Fax: (662) 843-2280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Urology Physician Taxonomy 208800000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1043454655
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Lawrence — Secretary · (615) 920-7000
NPI enumeratedApril 27, 2009
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address810 E Sunflower Rd Ste 100a, Cleveland, MS 38732-2828

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