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

Dr. John Brent Wallis, MD

Individual provider Internal Medicine Physician · NPI 1023004207

Dr. John Brent Wallis, MD is an Internal Medicine Physician in New Orleans, Louisiana. Licensed in Louisiana. Registered with an NPI since 2005.

Licensed in
LA
In the registry since
2005
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

2222 Simon Bolivar Ave
New Orleans, LA 70113-1460
Phone: (504) 444-7879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 025100 (LA)
Pediatrics Physician Taxonomy 208000000X · Licence 025100 (LA)

Record details

NPI number1023004207
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 23, 2005
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

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