Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Barrett Jeffrey Wallis, MD

Individual provider Gastroenterology Physician · NPI 1740220938

Barrett Jeffrey Wallis, MD is a Gastroenterology in Crystal River, Florida. Qualified in 1979, 47 years ago. Practices with B Jeffrey Wallis MD PA, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
47
Licensed in
FL, OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6152 W Corporate Oaks Dr
Crystal River, FL 34429-8722
Phone: (352) 564-3900
Fax: (352) 564-3906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10600 Montgomery Rd, Montgomery, OH 45242-4463 — (513) 794-5600

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence ME48685 (FL)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 35.088718 (OH)

Record details

NPI number1740220938
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 7, 2006
Last updated in NPPESOctober 10, 2024
Certification dateOctober 10, 2024
Mailing address835 Se 1st Ct, Crystal River, FL 34429-4612

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice B Jeffrey Wallis Md Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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