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D BALDER MD, PLLC
NPI 1396107330
Specialist in Gulfport, MS

Active since March 28, 2016
15190 COMMUNITY RD, GULFPORT, MS 39503(228) 265-5945 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About D Balder Md, Pllc NPPES

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

D BALDER MD, PLLC (NPI 1396107330) is a healthcare organization registered as a specialist in Gulfport, Mississippi and active in the NPI registry since March 2016. The organization lists Susan Nussell, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1396107330
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameD BALDER MD, PLLC
Location Address15190 COMMUNITY RDGulfport, MS 39503-3485
Mailing Address15190 Community RdGulfport, MS 39503-3485
Phone(228) 265-5945
Organization SubpartNo
Authorized OfficialSusan NussellBilling Manager · (972) 387-5800
Enumeration DateMarch 28, 2016
Last NPPES UpdateApril 7, 2016
✔ NPI 1396107330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · 21885
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.
15190 COMMUNITY RD, 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

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.

VICTOR P POLITO CRNA
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204
MRS. MICHELLE WRIGHT TAYLOR ACNP
Nurse Practitioner (Acute Care)
15190 COMMUNITY RD, STE 220
GULFPORT, MS 39503
Harrison County (228) 539-3356
GLEN DEITRICK C.R.N.A
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204
JULIE K KLESTER CRNA
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204
JOSHUA DIBBLE
Anesthesiology
15190 COMMUNITY RD
GULFPORT, MS 39503
Harrison County (228) 575-7290
MICHAEL E MOSES MD
Surgery
15190 COMMUNITY RD, SUITE250
GULFPORT, MS 39503
Harrison County (228) 539-8100
MEMORIAL HOSPITAL AT GULFPORT
Urology
15190 COMMUNITY RD, SUITE 240
GULFPORT, MS 39503
Harrison County (228) 539-2242
ROBIN L MITTERER CRNA
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204

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 1396107330. It was assigned to this organization in the NPPES registry on March 28, 2016.

Where is D Balder MD, PLLC located?

D Balder MD, PLLC is located at 15190 Community Rd, 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.

When was this NPI record last updated?

The NPPES record for D Balder MD, PLLC was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.