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

Mr. Wendell E. Wall, MD

Individual provider Internal Medicine Physician · NPI 1639174105

Mr. Wendell E. Wall, MD is an Internal Medicine in Shreveport, Louisiana. Graduated from University of Texas Medical Branch at Galveston in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
34
Trained at
University of Texas Medical Branch at Galveston
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1801 Fairfield Ave Ste 200
Shreveport, LA 71101
Phone: (318) 675-1800
Fax: (318) 675-1818
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD.11458R (LA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 11458R (LA)

Record details

NPI number1639174105
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 20, 2005
Last updated in NPPESOctober 22, 2018

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport