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

Beau Willis, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1396164679

Beau Willis, DPM is a Podiatry in Metairie, Louisiana. Graduated from Barry University School of Podiatric Medicine in 2014, 12 years ago. Practices with Gulf South Foot and Ankle LLC, a 6-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
12
Trained at
Barry University School of Podiatric Medicine
Licensed in
LA
In the registry since
2014
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2520 Harvard Ave Fl 1
Metairie, LA 70001-1172
Phone: (504) 454-3004
Fax: (504) 454-3075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 71121 Highway 21 Ste A, Covington, LA 70433-7176 — (985) 809-1464
  • 37292 Market Place Dr Ste B, Prairieville, LA 70769-3487 — (225) 744-3668

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 307117 (LA)

Record details

NPI number1396164679
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolBARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2014 (12 years in practice)
Group practice Gulf South Foot And Ankle Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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