1. Home
  2. Directory
  3. Mississippi
  4. Jackson
  5. Internal Medicine
  6. NPI Profile

MARSHALL J BOULDIN IV M.D.
NPI 1255364956
Internal Medicine in Jackson, MS

Active since July 08, 2006
1040 RIVER OAKS DR, SUITE 302, JACKSON, MS 39232(601) 939-9923(601) 939-9924 Get Directions Write a Review

NPPES record last updated: March 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marshall J Bouldin Iv M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARSHALL J BOULDIN IV M.D. (NPI 1255364956) is an individual internal medicine provider in Jackson, Mississippi, licensed in Mississippi (12970) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1255364956
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARSHALL J BOULDIN IVCredential: M.D.
Location Address1040 RIVER OAKS DR, SUITE 302Jackson, MS 39232-9530
Mailing Address3322 W End Ave, 11th FloorNashville, TN 37203-1031 · (615) 515-9880
Phone(601) 939-9923
Fax(601) 939-9924
Sole ProprietorNo
Enumeration DateJuly 8, 2006
Last NPPES UpdateMarch 9, 2014
✔ NPI 1255364956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 12970
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1040 RIVER OAKS DR, Jackson, MS 39232
Open in Google Maps ↗

Other Identifiers 4

Medicaid00120235MS
Medicare PIN512I110048MS
OtherRR 110204015MS · Railroad
Medicare UPINE92754MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOLANDA SMITH
Nurse Practitioner (Adult Health)
1040 RIVER OAKS DR, SUITE 302
JACKSON, MS 39232
Rankin County (601) 939-9923
MRS. MARY CARTER STRONG RN, MSN, FNP-BC
Nurse Practitioner (Family)
1040 RIVER OAKS DR, SUITE103
FLOWOOD, MS 39232
Rankin County (601) 326-2599
CENTER OF INFECTIOUS DISEASE EXCELLENCE LLC
Internal Medicine (Infectious Disease)
1040 RIVER OAKS DR
FLOWOOD, MS 39232
Rankin County (601) 944-1717
LAKELAND PRIMARY CARE CLINIC
Family Medicine
1040 RIVER OAKS DR
FLOWOOD, MS 39232
Rankin County (601) 664-9299
CENTER OF INFECTIOUS DISEASE EXCELLENCE
Internal Medicine (Infectious Disease)
1040 RIVER OAKS DR, SUITE 303
JACKSON, MS 39232
Rankin County (601) 936-0706
MISSISSIPPI HMA HOSPITALISTS, LLC
Hospitalist
1040 RIVER OAKS DR, SUITE 103
FLOWOOD, MS 39232
Rankin County (601) 933-5405
NANCY DORMAN MD,PHD PLLC
Internal Medicine (Infectious Disease)
1040 RIVER OAKS DR
FLOWOOD, MS 39232
Rankin County (601) 933-5660
MISS REPRODUCTIVE MEDICINE PLLC
Obstetrics & Gynecology (Reproductive Endocrinology)
1040 RIVER OAKS DR
JACKSON, MS 39232
Rankin County (601) 936-3650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marshall Bouldin's NPI number?

The NPI number for Marshall Bouldin is 1255364956. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Marshall Bouldin located?

Marshall Bouldin practices at 1040 River Oaks Dr Suite 302, Jackson, MS 39232. The listed phone number is (601) 939-9923.

What is Marshall Bouldin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Marshall Bouldin was last updated on March 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.