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

Marshall J Bouldin IV, MD

Individual provider Internal Medicine Physician · NPI 1255364956

Marshall J Bouldin IV, MD is an Internal Medicine Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1040 River Oaks Dr Ste 302
Jackson, MS 39232-9530
Phone: (601) 939-9923
Fax: (601) 939-9924
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 12970 (MS)

Record details

NPI number1255364956
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESMarch 9, 2014

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