MR. BRIAN DAVID WALLACE


Address: 1100 Brookhaven Rd, Franklin, KY 42134-2746
Phone: 3176149849

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
KY 64113905 05

Other Providers BRIAN WALLACE

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

Office Location

Street Address 1100 BROOKHAVEN RD
City FRANKLIN
State KY
Zip Code 42134-2746

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City FRANKLIN
Zip Code 42134

Improve Information

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Dataset Information

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.

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