IndividualActive
Wallace Brown, M.D.
NPI 1114988995 · Plastic Surgery Physician · Shreveport, LA
Wallace Brown, M.D. is a Plastic Surgery Physician provider in Shreveport, LA (NPI 1114988995).
Provider details
- NPI number
- 1114988995
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- 011630 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2210 Line Ave
Suite 204
Shreveport, LA 71104-2152
Phone: (318) 221-9671
Fax: (318) 425-2343
Street-level locationGet directions
Mailing address
2210 Line Ave
Shreveport, LA 71104-2152
Registry dates
- Enumerated
- 2006-03-31
- Last updated
- 2007-07-08
Frequently asked questions
- What is Wallace Brown's NPI number?
- Wallace Brown's National Provider Identifier (NPI) is 1114988995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wallace Brown's specialty?
- Wallace Brown is listed in the NPPES registry with a primary specialty of Plastic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Wallace Brown located?
- Wallace Brown's practice location on file with NPPES is 2210 Line Ave, Shreveport, LA 71104-2152.
- What is Wallace Brown's phone number?
- The practice phone number listed in the NPPES registry for Wallace Brown is (318) 221-9671.
- Is Wallace Brown's NPI active?
- Yes — Wallace Brown's NPI (1114988995) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.