NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Robert Vernon Wallace, M. D.

Family Medicine Physician in Lehigh Acres, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922113174

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Registry record

Entity type Individual (Type 1)
Name Robert Vernon Wallace
Credential M. D.
Sex Male
Practice address Lehigh Acres, FL, 33936
Fax (239) 369-0500
Enumeration date Aug 20, 2006
Last updated in NPPES Mar 7, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License ME0013849 (FL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
36161 Other FL BLUE CROSS BLUE SHIELD
622647 Other FL AETNA
ME0013849 Other FL PROFESSIONAL LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Robert Wallace?
The National Provider Identifier (NPI) for Robert Wallace is 1922113174, a Type 1 (individual) record in the CMS NPPES registry.
Where does Robert Wallace practice?
The practice location on file with NPPES is in Lehigh Acres, FL. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.