MR. BRIAN DAVID WALLACE (NPI# 1831198811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831198811 |
Entity Type | Individual |
Full Name | MR. BRIAN DAVID WALLACE |
Credential | MD |
Practice Address |
1100 Brookhaven Rd Franklin KY 42134-2746 |
Mailing Address |
Po Box 3179 Indianapolis IN 46206-3179 |
Practice Telephone | 3176149849 |
Practice Fax Number | 3174281044 |
Mailing Telephone | 3176149849 |
Mailing Fax Number | 3174281044 |
Enumeration Date | 2005-07-20 |
Last Update Date | 2015-10-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD0000040992 | TN | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
39483 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 64113905 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093866121 | Brian Wallace | Dentist | 781 S Lake Dr, Suite 1, Prestonsburg, KY 41653-1340 | 2007-01-16 |
1801864350 | Brian Wallace | Internal Medicine | 9005 Kilbride Rd, Baltimore, MD 21236-2017 | 2006-03-10 |
1861939845 | Brian Wallace | Counselor | 7907 Ostrow St Ste F, San Diego, CA 92111-3635 | 2017-01-27 |
1114378759 | Brian Charles Wallace | Physician Assistant | 125 W Catawba Ave, Mount Holly, NC 28120-1601 | 2016-06-24 |
1154677359 | Brian Venson Wallace | Physical Therapist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2012-07-25 |
1598083495 | Brian William Wallace | Chiropractor | 139 Morristown Rd, Bernardsville, NJ 07924-2633 | 2010-05-17 |
1790017028 | Brian Edward Wallace | Anesthesiology | 400 E Pioneer Ave, Suite 101, Puyallup, WA 98372-3255 | 2010-02-11 |
1518118462 | Brian Robert Wallace | Orthopaedic Surgery | 1250 Pine Ridge Rd, Suite 203, Naples, FL 34108-8913 | 2008-10-08 |
1518124627 | Brian Scott Wallace | Emergency Medicine | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2008-05-18 |
1427248350 | Brian J Wallace | Physician Assistant | 325 Princeton Ave, Princeton, NJ 08540-1617 | 2007-07-26 |
Street Address |
1100 BROOKHAVEN RD |
City | FRANKLIN |
State | KY |
Zip Code | 42134-2746 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518421999 | Stephanie Ann Druen | Speech-Language Pathologist | 1100 Brookhaven Rd, Franklin, KY 42134-2746 | 2019-01-30 |
1265951461 | Laura Michelle Nagode | Physical Therapist | 1100 Brookhaven Rd, Suite 201, Franklin, KY 42134 | 2017-09-19 |
1174042709 | Timothy Owensby | Physical Therapy Assistant | 1100 Brookhaven Rd, Franklin, KY 42134-2746 | 2017-09-14 |
1497279418 | Commonwealth Health Corporation, Inc. | Audiologist | 1100 Brookhaven Rd, Franklin, KY 42134-2746 | 2017-08-01 |
1093021156 | William F.m. Daniel, M.d., F.a.c.s | Surgery | 1100 Brookhaven Rd, Suite 102, Franklin, KY 42134-2746 | 2010-08-27 |
1780841007 | Wesley Family Medical Psc | Nurse Practitioner | 1100 Brookhaven Rd, Suite 101, Franklin, KY 42134-2746 | 2008-05-22 |
1811182777 | Family Medical Clinic, Psc | Family Medicine | 1100 Brookhaven Rd, Suite # 103, Franklin, KY 42134-2745 | 2007-09-12 |
1164555017 | The Medical Center At Franklin, Inc | Clinical Medical Laboratory | 1100 Brookhaven Rd, Franklin, KY 42134-2746 | 2007-03-13 |
1558436212 | The Medical Center At Franklin Nutrition Therapy Program | Nutritionist | 1100 Brookhaven Rd, Franklin, KY 42134-2746 | 2006-11-21 |
1245304864 | Shawna L. E. Amell | Dietitian, Registered | 1100 Brookhaven Rd, Franklin, KY 42134-2746 | 2006-11-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972022044 | Bio-medical Applications of Kentucky, Inc. | Clinic/Center | 1112 S Main St Ste 11, Franklin, KY 42134 | 2017-09-11 |
1457716706 | Fast Pace Kentucky Pllc | Clinic/Center | 1475 Nashville Rd, Franklin, KY 42134 | 2015-12-30 |
1306263694 | Dana Marie Williams | Counselor | 608 South Main Street, Franklin, KY 42134 | 2014-03-25 |
1467659466 | Alexandria Bridges | Physical Therapist | 414 Robey Street, Bowling Green, KY 42134 | 2007-07-02 |
1902985658 | Kelly Family Dentistry Pllc | Dentist | 201 Pleasant Valley Rd, Franklin, KY 42134 | 2006-11-03 |
1588624670 | Roy D Reynolds | Family Medicine | 121 Memorial Dr, Franklin, KY 42134 | 2006-03-24 |
1528579687 | William Cody Russell | Physical Therapist | 1020 Main Street, Franklin, KY 42134 | 2017-10-17 |
1902232341 | Haley Petty | Physical Therapist | 1112 S Main St, Franklin, KY 42134 | 2013-09-17 |
1306288436 | Kimberlee G Sliger | Nurse Practitioner | 119 Memorial Dr, Franklin, KY 42134 | 2013-07-17 |
1770808008 | Jeri Lyn Powell | Occupational Therapy Assistant | 414 Robey Street, Franklin, KY 42134 | 2010-03-30 |
Find all providers in zip 42134 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407284888 | Chi Yol Ryu | Radiology | 1431 Willowbrooke Cir, Franklin, TN 37069-7201 | 2013-10-23 |
1669772448 | Riverside Radiology Medical Group, Inc. | Radiology | 1 Meadowbrook Rd, Franklin, MA 02038-1133 | 2010-10-27 |
1043536931 | Joan Thompson Williams | Radiology | 1008 Chapel Lake Cir, Franklin, TN 37069-4665 | 2010-04-16 |
1811224918 | William Henry Straub | Radiology | 533 Miller Rd, Franklin, PA 16323-3535 | 2009-11-10 |
1922269844 | Marvin Gordon | Radiology | 25862 Hersheyvale Dr, Franklin, MI 48025-1236 | 2008-06-23 |
1528271152 | Eric M Edds | Radiology | The Medical Center @ Franklin, 1100 Brookhaven Road, Franklin, KY 42134-2746 | 2007-05-08 |
1831274109 | Vipul Sharma | Radiology | 7005 W Rawson Ave, Franklin, WI 53132-8113 | 2006-10-26 |
1700805918 | Digital Diagnostics, Plc | Radiology | 4155 Carothers Pkwy, Franklin, TN 37067-5905 | 2006-07-19 |
1063482156 | Cardiolabs, Inc. | Radiology | 357 Riverside Dr, Suite 1000, Franklin, TN 37064-8963 | 2006-01-23 |
1891787263 | Kunil Chris Chung | Radiology | One Medical Drive, Franklin, OH 45005-1066 | 2005-08-22 |
Find all providers in FRANKLIN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.