Doctor profile · Federal record
Dr. Marshall Bouldin, M.D.
Internal Medicine Physician · Jackson, MS
- NPI 1255364956
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1040 River Oaks Dr, Suite 302
Jackson, MS 392329530
(601) 939-9923
fax (601) 939-9924 - Mailing address
-
3322 W End Ave, 11Th Floor
Nashville, TN 372031031
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- March 9, 2014
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Mississippi #12970
- Medicaid
- MS #00120235
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1255364956. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$449
Transactions
5
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk Inc | 4 | $338.43 | |
| Insulet Corporation | 1 | $110.19 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
11
Patients
0
Total drug cost
$22
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Zolpidem Tartrate | Generic | 11 | 0 | $22 |
Frequently asked questions
What is Dr. Marshall Bouldin's medical specialty?
Dr. Marshall Bouldin practices Internal Medicine Physician in Jackson, MS.
Where does Dr. Marshall Bouldin practice?
Dr. Marshall Bouldin practices at 1040 River Oaks Dr, Jackson, MS 392329530. Office phone: 6019399923.
What is Dr. Marshall Bouldin's NPI?
Dr. Marshall Bouldin's National Provider Identifier (NPI) is 1255364956, issued by NPPES.