Brian Bolivar Walls (NPI# 1508866237, PAC ID# 5698805331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1508866237 |
| PAC ID by PECOS | 5698805331 |
| Professional Enrollment ID | I20100607000890 |
| Full Name | Brian Bolivar Walls |
| Address |
500 Crockett Blvd Merritt Island FL 32953-5034 |
| Gender | M |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100316 | PALM BAY HOSPITAL |
| 100177 | CAPE CANAVERAL HOSPITAL |
| 100019 | HOLMES REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 500 Crockett Blvd, Merritt Island, FL 32953-5034 |
| Street Address |
500 CROCKETT BLVD |
| City | MERRITT ISLAND |
| State | FL |
| Zip | 32953-5034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John E Davenport | Podiatry | 1490 Polaris St, Merritt Island, FL 32953-3127 | |
| Robert English Clayton Ii | Obstetrics/gynecology | 231 Mcleod St, Merritt Island, FL 32953-3463 | |
| Daniel Cowling | Optometry | 495 N Courtenay Pkwy, Merritt Island, FL 32953-3485 | |
| Skyhawk Fadigan | Family Medicine | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Ralph Rayner | Cardiovascular Disease (cardiology) | Health First Medical Group, LLC | 255 Borman Dr, Merritt Island, FL 32953-3486 |
| Hatice Foell | Nurse Practitioner | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Victor Teofilo Perez | Cardiovascular Disease (cardiology) | Health First Medical Group, LLC | 255 Borman Dr, Merritt Island, FL 32953-3486 |
| Tiffany Alana Bonnell | Nurse Practitioner | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Julieta Waldron | Nurse Practitioner | Health First Medical Group, LLC | 255 Borman Dr, Suite 2, Merritt Island, FL 32953-3486 |
| Khalid Sheikh | Cardiovascular Disease (cardiology) | Health First Medical Group, LLC | 255 Borman Dr, Merritt Island, FL 32953-3486 |
| Find all physicians in zip 32953 | |||
| City | MERRITT ISLAND |
| Zip Code | 32953 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MERRITT ISLAND + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Brian Bolivar Walls.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.