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Contact Information

BRADFORD RIVER BEND, LLC
330 HIGHWAY 90
GAUTIER, MS39553-5705
 Phone: 601-791-5135
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for BRADFORD RIVER BEND, LLC

NPI # 1194569855
LBN Legal business name BRADFORD RIVER BEND, LLC
Authorized official MARK EDWARDS - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2024
Last updated 02/23/2026 - About 3 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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