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

Bolivar Urology Clinic, PA

Organization Urology Physician · NPI 1588785794

Bolivar Urology Clinic, PA is an Urology Physician in Cleveland, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.

Licensed in
MS
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

907 E Sunflower Rd Ste 103
Cleveland, MS 38732-2830
Phone: (662) 846-9990
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 17441 (MS)

Record details

NPI number1588785794
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Miles — President · (662) 846-9990
NPI enumeratedApril 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address907 E Sunflower Rd, Suite 103, Cleveland, MS 38732-2830

Other providers in Cleveland