Individual
DR. BRENT MICHAEL WALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1220 SPRING ST, JEFFERSONVILLE, IN 47130-3704
(812) 282-8494
(812) 280-3030
Mailing address
PO BOX 776351, CHICAGO, IL 60677-3704
(502) 559-9337
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01060263A
IN
207X00000X
Orthopaedic Surgery Physician
39291
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365692
IN BC
IN
01
—
1720078900
NPI
IN
05
—
200354700A
—
IN
05
—
7100620820
—
KY
01
—
IN2570009
MEDICARE
IN
Enumeration date
10/27/2005
Last updated
04/02/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us