DR. Bradley A Wallace MD

  • NPI 1134160161
According to our database, the NPI number for DR. Bradley A Wallace MD is 1134160161 and activated since 17 years ago. DR. Bradley A Wallace MD is an individual provider who specializes in Neurological Surgery, and the primary practice location is 800 Prudential Dr, Jacksonville, FL 32207. You can also contact DR. Bradley A Wallace MD via telephone number is (904) 388-6518. Provider NPI information was last updated on 06/09/2016.

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Overview of DR. Bradley A Wallace MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/09/2006
  • Last updated: 06/09/2016

Primary Scrop of Practice

  • Taxonomy Code: 207T00000X
  • Specialty: Neurological Surgery
  • License Number: ME91779
  • License State: FL

Provider Mailing Address

  • Address: 800 Prudential Dr
    Tower B, 11th Floor
    Jacksonville, FL 32207
  • Phone: 904-388-6518
  • Fax: 904-384-1005

Provider Practice Location

  • Address: 800 Prudential Dr
    Tower B, 11th Floor
    Jacksonville, FL 32207
  • Phone: 904-388-6518
  • Fax: 904-384-1005

Scope of Practice

  • Taxonomy Code: 207T00000X
  • Specialty: Neurological Surgery
  • License Number: ME91779
  • License State: FL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 2744978500
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: FL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for DR. Bradley A Wallace MD?
  • A: The npi number for DR. Bradley A Wallace MD is 1134160161.
  • Q: What are DR. Bradley A Wallace MD's specialties?
  • A: DR. Bradley A Wallace MD's specialties are Neurological Surgery and different specialities.
  • Q: What is the medical license for DR. Bradley A Wallace MD?
  • A: The medical license number for DR. Bradley A Wallace MD is ME91779 and issued in FL in USA.
  • Q: Where is DR. Bradley A Wallace MD practice location?
  • A: DR. Bradley A Wallace MD is practicing at 800 Prudential Dr, Jacksonville, FL 32207.
  • Q: How to contact DR. Bradley A Wallace MD?
  • A: You can contact DR. Bradley A Wallace MD via 904-388-6518.