D BALDER MD PLLC
NPI 1366993321
Specialist in Gulfport, MS

Q: What is D Balder MD PLLC's NPI number?

The NPI number for D Balder MD PLLC is 1366993321. It was assigned to this organization in the NPPES registry on October 14, 2016.

Q: What is D Balder MD PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for D Balder MD PLLC was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 14, 2016

11070 DAVID ST, GULFPORT, MS 39503(228) 265-5945(228) 284-1580 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2021, Oct 25, 2016, Oct 14, 2016 (3 updates tracked since 2016).

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About D Balder Md Pllc NPPES

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

D BALDER MD PLLC (NPI 1366993321) is a healthcare organization registered as a specialist in Gulfport, Mississippi and active in the NPI registry since October 2016. The organization lists Jody Michelle Moran, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1366993321

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameD BALDER MD PLLC

Location Address11070 DAVID STGulfport, MS 39503-3852

Mailing Address11070 David StGulfport, MS 39503-3852 · (228) 265-5945 · Fax (228) 284-1580

Phone(228) 265-5945

Fax(228) 284-1580

Organization SubpartNo

Authorized OfficialJody Michelle MoranOffice Manager · (228) 265-5945

Enumeration DateOctober 14, 2016

Last NPPES UpdateAugust 20, 20213 updates tracked since enumeration

NPPES CertifiedAugust 20, 2021

✔ NPI 1366993321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Licenses✔ Licensed in MS · 21885✔ Licensed in LA · 042354MD

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

11070 DAVID ST, Gulfport, MS 39503

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

D Balder Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to D Balder MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Donald Balder, MD

General Surgery

NPI 1336198100

11070 DAVID ST
Gulfport, MS 39503

(228) 265-5945

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 D Balder MD PLLC's NPI number?

The NPI number for D Balder MD PLLC is 1366993321. It was assigned to this organization in the NPPES registry on October 14, 2016.

Where is D Balder MD PLLC located?

D Balder MD PLLC is located at 11070 David St, Gulfport, MS 39503. The listed phone number is (228) 265-5945.

What is D Balder MD PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is D Balder MD PLLC enrolled in Medicare?

Yes. D Balder MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through D Balder MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to D Balder MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does D Balder MD PLLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list D Balder MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for D Balder MD PLLC was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.