Bradford River Bend, LLC
Bradford River Bend, LLC is a healthcare organization registered as Substance Use Disorder Rehabilitation Clinic/Center in Gautier, MS, holding Type 2 (organization) NPI 1194569855 since 2024. The authorized official on file is Mark Edwards, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1194569855 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bradford River Bend, LLC |
| Practice address | 330 HIGHWAY 90, Gautier, MS, 39553 |
| Phone | 6017915135 |
| Enumeration date | 2024-06-19 |
| Last updated in NPPES | 2026-02-23 |
Authorized official
| Name | Mark Edwards |
|---|---|
| Title | Cfo |
| Phone | 2052448112 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | Secondary | — | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Bradford River Bend, LLC NPI: 1194569855 Taxonomy: 261QR0405X (Substance Use Disorder Rehabilitation Clinic/Center) Address: 330 HIGHWAY 90, Gautier, MS, 39553
Verify this record
Cross-check NPI 1194569855 against the authoritative CMS record: view Bradford River Bend, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Bradford River Bend, LLC?
What is the NPI number for Bradford River Bend, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-02-23.