JOHN BRENT WALLIS MD
NPI 1023004207
Internal Medicine in Miami,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 23, 2005

Contact Information

1000 Park Centre Blvd
Miami,
Post Code: 33169
Phone: (504) 454-9020
Fax: (504) 454-9031

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John Brent Wallis Md in Miami - Internal Medicine

John Brent Wallis Md is a Internal Medicine in Miami, . John Brent Wallis Md practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for John Brent Wallis Md is 1023004207. The last update date is 2012-12-21.

John Brent Wallis Md's current location address is 1000 Park Centre Blvd, Miami, . You can contact this provider via phone number (504) 454-9020 and fax number (504) 454-9031. The mailing address for John Brent Wallis Md is 1000 Park Centre Blvd, Miami, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1023004207
Provider Name
JOHN BRENT WALLIS MD
Gender
Male
Entity Type
Individual
Location Address
1000 Park Centre Blvd, Miami,
Location Phone
(504) 454-9020
Location Fax
(504) 454-9031
Mailing Address
4710 S Carrollton Ave, New Orleans, Louisiana(LA)
Mailing Phone
504-454-9020
Mailing Fax
504-454-9031
Enumeration Date
2005-09-23
Last Update Date
2012-12-21
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
-
License No.
025100
License State
Louisiana (LA)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 208000000X Pediatrics Physician

Pediatrics

025100 (Louisiana)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1422355 MEDICAID (05) Louisiana (LA)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023004207
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
204300820
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 204300820
2 + 0 + 4 + 3 + 0 + 0 + 8 + 2 + 0 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 7 7

The NPI number 1023004207 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023004090 WHITNEY L. CLOWNEY
Individual
Physician Assistant, Medical PO BOX 23600
ST PETERSBURG, Florida (FL)
727-824-8357
1023003886 DAVID JAMES HOBBS
Individual
Clinical Neuropsychologist 2110 58TH ST W
BRADENTON, Florida (FL)
941-795-7222
1023003746 CARLOS CESAR MARINELLI
Individual
Internal Medicine, Cardiovascular Disease 3665 MADACA LN
TAMPA, Florida (FL)
813-280-7380
1023003621 SUSAN M FRASER
Individual
Internal Medicine, Rheumatology PO BOX 12868
ST. PETERSBURG, Florida (FL)
727-824-8357
1023003589 CHRISTOPHER H RUSH
Individual
Family Medicine 321 S FAIRFIELD DR
PENSACOLA, Florida (FL)
850-474-8546