D Balder MD PLLC
NPI 1366993321ActiveOrganization· Specialist· Gulfport, MS
Specialist in Gulfport, Mississippi, registered in NPPES in October 2016. The authorized official on file is Jody Michelle Moran, BSN, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366993321 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 14, 2016 |
| Last updated in NPPES | Aug 20, 2021 |
| Certified by provider | Aug 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 21885 | MS |
| Specialist | 174400000X | 042354MD | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
Other Specialist providers in Gulfport
- 1568410058
- 1609198290
- 1104879196
- 1366560435
- 1396107330
- 1639566060
- 1659572006
- 1679696769
- 1871523423
- 1841383536
- 1205850773
- 1073653903