Manuel Balderas, MD
Psychiatry & Neurology, Psychiatry in Burlington, MA. Individual provider (NPI-1).
NPI number1851404545
StatusActive
Last updated in NPPESJan 24, 2023
Details
- NPI
- 1851404545
- Entity type
- Individual (NPI-1)
- Name
- Manuel Balderas
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2006
- Certification date
- Jan 24, 2023
- Last updated
- Jan 24, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 263953 | MA | Yes |
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | L0011 | TX | |
| 2084P0802X | Psychiatry & Neurology, Addiction Psychiatry | L0011 | TX |
Practice location
41 Mall RdBurlington, MA 01805-3509
Phone 781-744-8000
Mailing address
6031 Wood PassSan Antonio, TX 78249-1922
Phone 210-617-5130 · Fax 210-617-5178
Other practice locations
17720 Corporate Woods Dr
San Antonio, TX 78259-3509
San Antonio, TX 78259-3509
Phone 210-858-8891 · Fax 210-858-5861
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 25 Psychiatry Physician providers in Burlington · All 2,871 providers in Burlington
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