DR. BRIAN BOLIVAR WALLS (MD) – Internal Medicine Physician, NPI 1508866237

DR. BRIAN BOLIVAR WALLS (MD) is a healthcare provider. based in Merritt island, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME71812 (FL). The NPI Number for DR. BRIAN BOLIVAR WALLS (MD) is 1508866237

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN BOLIVAR WALLS (MD)
NPI
1508866237
Phone
(321) 243-8593
Address
PO BOX 540033
Enumeration Date
22 July 2005
Last Update Date
3 July 2024

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3214544035
Graduation Year
1990 (36 years ago)
PAC ID
5698805331
Professional Enrollment ID
I20100607000890
Address ID
FL329535034ME500XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

12,378 INTERNAL MEDICINE in FL

Provider Addresses for DR. BRIAN BOLIVAR WALLS (MD)

  • PO BOX 540033

    MERRITT ISLAND, FL 329540033

    Phone: (321) 243-8593

    Fax: (321) 453-6280

    Type: Mailing

  • 500 CROCKETT BLVD

    MERRITT ISLAND, FL 329535034

    Phone: (321) 243-8593

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $341.

Total Amount is formed as General ($341) + Research ($0) + Ownership ($0) = $341.

Last reported payment date: 2024-11-02 • Largest payer in this snapshot: Corium, LLC ($147).

Total Amount

$341

General + Research + Ownership

Payments

4

Total payment records

General Amount

$341

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100607000890IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes5654$0
99315Nursing facility discharge day management, 30 minutes or less2121$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 32954)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for DR. BRIAN BOLIVAR WALLS (MD)?
Save NPI 1508866237 if you need a stable reference for DR. BRIAN BOLIVAR WALLS (MD).
Is DR. BRIAN BOLIVAR WALLS (MD) currently active in the NPI registry?
CMS-published data lists DR. BRIAN BOLIVAR WALLS (MD) as an active registrant.
What field does DR. BRIAN BOLIVAR WALLS (MD) work in?
You can think of DR. BRIAN BOLIVAR WALLS (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. BRIAN BOLIVAR WALLS (MD)?
The snapshot lists Merritt Island, Florida for DR. BRIAN BOLIVAR WALLS (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

DR. KEVIN RAY CAMPBELL (M.D.)

Clinical Cardiac Electrophysiology Physician
1223 Gateway Dr Ste 2E
NPI: 1770581134

Unknown Individual

Internal Medicine Physician
Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States
NPI: 1346240074

DR. DAVID ARNOLD TREVINO (MD)

Internal Medicine Physician
Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States
NPI: 1508866385

DR. RAMESH NARINE GIRJASHANKER (MD)

Internal Medicine Physician
Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States
NPI: 1144220880

TANYA B ZIADIE (MD)

Internal Medicine Physician
255, North Sykes Creek Parkway, Merritt Island, Brevard County, Florida, 32953, United States
NPI: 1891795258

DIANE LUCIANI (D.O.)

Internal Medicine Physician
1395, North Courtenay Parkway, Merritt Island, Brevard County, Florida, 32953, United States
NPI: 1114918380

JANET A ANCIRO (MD)

Internal Medicine Physician
3972 W EAU GALLIE BLVD STE B
NPI: 1578538278

DR. PARESH DHANJIBHAI SAVANI (M.D.)

Internal Medicine Physician
204, Jenifer Court, Angel City, Merritt Island, Brevard County, Florida, 32952, United States
NPI: 1942261821