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

Bolivar Physician Practices LLC

Organization Orthopaedic Surgery Physician · NPI 1063659530

Bolivar Physician Practices LLC is an Orthopaedic Surgery Physician in Cleveland, Mississippi. Registered with an NPI since 2009.

In the registry since
2009
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

907 E Sunflower Rd Ste 102
Cleveland, MS 38732-2830
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

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1063659530
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Lawrence — Secretary · (615) 920-7000
Other names Bolivar Orthopedics
NPI enumeratedJanuary 20, 2009
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address907 E Sunflower Rd Ste 102, Cleveland, MS 38732-2830

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