Bienville Orthopaedic Specialists, LLC
Orthopaedic Surgery in Gulfport, MS. Organization (NPI-2).
NPI number1689804668
StatusActive
Last updated in NPPESSep 22, 2026
Details
- NPI
- 1689804668
- Entity type
- Organization (NPI-2)
- Legal business name
- Bienville Orthopaedic Specialists, LLC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2009
- Certification date
- Sep 22, 2026
- Last updated
- Sep 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
15476 Dedeaux RdSuite B
Gulfport, MS 39503-2637
Phone 228-230-2663
Mailing address
6300 E Lake Blvd Ste 301Vancleave, MS 39565-6771
Phone 228-230-2663 · Fax 228-206-6398
Authorized official
Lee Bond
Ceo
2282302663
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