DR. HALDON M. MARMOLEJOS DO
NPI 1740868876
Military Health Care Provider in Keesler Afb, MS
About Dr. Haldon M. Marmolejos Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HALDON M. MARMOLEJOS DO (NPI 1740868876) is an individual military health care provider provider in Keesler Afb, Mississippi, licensed in Indiana (02008215A) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Haldon M. Marmolejos Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
KEESLER AFB, MS 39534
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 Haldon Marmolejos's NPI number?
The NPI number for Haldon Marmolejos is 1740868876. It was assigned to this individual provider in the NPPES registry on March 30, 2021.
Where is Haldon Marmolejos located?
Haldon Marmolejos practices at 301 Fisher St, Keesler Afb, MS 39534. The listed phone number is (228) 376-6030.
What is Haldon Marmolejos's specialty?
The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.
Is Haldon Marmolejos enrolled in Medicare?
Yes. Haldon Marmolejos is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Haldon Marmolejos was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Dr. Haldon M. Marmolejos, DO · NPI 1740868876
Military Health Care Provider provider in Keesler Afb, Mississippi. Individual provider, active in the CMS NPPES registry since March 30, 2021.
## Identity
- **NPI:** 1740868876 (Entity type: Individual)
- **Enumerated:** March 30, 2021
- **Primary specialty:** Military Health Care Provider · taxonomy 171000000X
- **State license:** 02008215A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 FISHER ST, Keesler Afb, MS 39534-2508
- **Phone:** (228) 376-6030
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1740868876) · Data from the CMS NPPES public registry.