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BRIAN B WALLS MD PLLC
NPI 1891165023
Internal Medicine in Merritt Island, FL

Active since September 30, 2015
500 CROCKETT BLVD, MERRITT ISLAND, FL 32953(321) 243-8593(321) 454-2523 Get Directions Write a Review

NPPES record last updated: May 22, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 22, 2017, Feb 23, 2016, Sep 30, 2015 (3 updates tracked since 2015).

About Brian B Walls Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN B WALLS MD PLLC (NPI 1891165023) is a healthcare organization registered as an internal medicine in Merritt Island, Florida and active in the NPI registry since September 2015. The organization lists Brian B Walls, Physician / Owner, as its authorized official.

NPPES Registry Identity

NPI1891165023
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBRIAN B WALLS MD PLLC
Location Address500 CROCKETT BLVDMerritt Island, FL 32953-5034
Mailing AddressPo Box 540033Merritt Island, FL 32954-0033 · (321) 243-8593 · Fax (321) 454-2325
Phone(321) 243-8593
Fax(321) 454-2523
Organization SubpartNo
Authorized OfficialBrian B WallsPhysician / Owner · (321) 243-8593
Enumeration DateSeptember 30, 2015
Last NPPES UpdateMay 22, 20173 updates tracked since enumeration
✔ NPI 1891165023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME71812
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
500 CROCKETT BLVD, Merritt Island, FL 32953
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Other Identifiers 2

Medicaid251358700FL
Medicare PIN32508FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian B Walls Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brian B Walls MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisa Baker, ARNP FNP-BC
Nurse Practitioner
NPI 1467932525
3700 N HARBOR CITY BLVD STE 1A
Melbourne, FL 32935
(321) 387-1583
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian B Walls MD PLLC's NPI number?

The NPI number for Brian B Walls MD PLLC is 1891165023. It was assigned to this organization in the NPPES registry on September 30, 2015.

Where is Brian B Walls MD PLLC located?

Brian B Walls MD PLLC is located at 500 Crockett Blvd, Merritt Island, FL 32953. The listed phone number is (321) 243-8593.

What is Brian B Walls MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brian B Walls MD PLLC enrolled in Medicare?

Yes. Brian B Walls MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brian B Walls MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Brian B Walls MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brian B Walls MD PLLC was last updated on May 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.