Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

D Balder MD, PLLC

Organization Specialist · NPI 1396107330

D Balder MD, PLLC is a Specialist in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2016.

Licensed in
MS
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15190 Community Rd
Gulfport, MS 39503-3485
Phone: (228) 265-5945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 21885 (MS)

Record details

NPI number1396107330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Nussell — Billing Manager · (972) 387-5800
NPI enumeratedMarch 28, 2016
Last updated in NPPESApril 7, 2016
Mailing address15190 Community Rd, Gulfport, MS 39503-3485

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