Bradford River Bend, LLC

Bradford River Bend, LLC is a healthcare organization registered as Substance Use Disorder Rehabilitation Clinic/Center in Lucedale, MS, holding Type 2 (organization) NPI 1417576596 since 2020. The authorized official on file is Mark Edwards, Cfo.

✓ Active NPI ✓ Valid NPI checksum

NPI	1417576596
Entity type	Organization (Type 2)
Legal business name	Bradford River Bend, LLC
Other name	<Unavail>
Practice address	226 LOWE LN, Lucedale, MS, 39452
Phone	6017915135
Fax	6017915140
Enumeration date	2020-04-09
Last updated in NPPES	2026-02-23

Authorized official

Name	Mark Edwards
Title	Cfo
Phone	2052448112

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
276400000X	Substance Use Disorder Rehabilitation Hospital Unit	Secondary	—	—
324500000X	Substance Abuse Rehabilitation Facility	Secondary	—	—
261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Bradford River Bend, LLC
NPI: 1417576596
Taxonomy: 261QR0405X (Substance Use Disorder Rehabilitation Clinic/Center)
Address: 226 LOWE LN, Lucedale, MS, 39452

Providers at this address

NPI	Name	Type	Specialty	Location
1417778382	Kesha Johnson	Individual	Registered Nurse	Lucedale, MS
1275487696	Bradford Professional Services - Ms, LLC	Organization	Substance Use Disorder Rehabilitation Clinic/Center	Lucedale, MS

Verify this record

Cross-check NPI 1417576596 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

Where is Bradford River Bend, LLC located?

The practice location on file with NPPES is in Lucedale, MS.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-02-23. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-02-23.