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

Doyle Robert Wallace, MD

Individual provider Orthopaedic Surgery Physician · NPI 1962070466

Doyle Robert Wallace, MD is an Orthopedic Surgery in Indianapolis, Indiana. Graduated from Mercer University School of Medicine in 2021, 5 years ago. Licensed in Indiana.

Years since qualifying
5
Trained at
Mercer University School of Medicine
Licensed in
IN
In the registry since
2021
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

8501 Harcourt Rd
Indianapolis, IN 46260-2046
Phone: (317) 875-9105
Fax: (317) 808-8802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 01098545A (IN)

Record details

NPI number1962070466
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2021
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address8450 Northwest Blvd, Indianapolis, IN 46278-1381

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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