Donald Allan Balder, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

21885 Issued in MS

Practice address

11070 David St
Gulfport, MS 39503-3852

Phone

(228) 265-5945

Fax

(228) 284-1580

NPI assigned

May 9, 2006

Last updated

Aug 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, LA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

General Surgery

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• D Balder MD PLLC

  • Specialist
  • Gulfport, MS
  • NPI 1366993321
  Medicare reassignment
• Surgical Specialists of Mississippi

  • Surgery Physician
  • Gulfport, MS
  • NPI 1639444854
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1336198100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11070 DAVID ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033852",
            "telephone_number": "228-265-5945",
            "fax_number": "228-284-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11070 DAVID ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033852",
            "telephone_number": "228-265-5945",
            "fax_number": "228-284-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDER",
        "first_name": "DONALD",
        "middle_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "21885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Paoletto Baker, RDH
• Clifford Eugene Baker, NP
• Kari Baker, P-LPC
• Share Baker
• Balanced Living Counseling and Consulting Services
• Jeremiah John Baldwin, IDC
• Manisha Bandamede, M.D.
• William Bankester, D.C.
• Ava D Banks, B.S.
• Danielle Barber, PNP

• Surgery Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.