Brian Wallace, PT, DPT, OCS

ActiveIndividual ProviderPhysical Therapy
NPI issued: September 7, 2006

Quick Facts

NPI Number
1790888501
TypeIndividual
StatusActive
SpecialtyPhysical Therapy
Taxonomy2251X0800X — Physical Therapy
Phone
(910) 807-8922
StateNC

NPI Validation Status: Verified

Valid 10-digit NPI number (1790888501)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (September 7, 2006)
Data source: CMS NPPES

Provider Overview

BRIAN WALLACE, PT, DPT, OCS is a Physical Therapy provider based in Fort Bragg, NC who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1790888501
Provider TypeIndividual Provider
GenderMale
CredentialPT, DPT, OCS
StatusActive
Enumeration DateSeptember 7, 2006

Practice Location

CityFort Bragg
StateNC
ZIP Code28310-6920
Phone(910) 807-8922

Specialties & Licenses

★ Primary
SpecialtyPhysical Therapy
Taxonomy Code2251X0800X
License StateNC

Mailing Address

CityFort Bragg
StateNC
ZIP Code28310-6920
Phone(910) 807-8922
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1790888501 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1790888501for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1790888501 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physical Therapy

Specialists in Physical Therapy provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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12,325
Physical Therapy Providers in the US

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People Also Ask

What is Brian Wallace's NPI number?
Brian Wallace's NPI number is 1790888501, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Brian Wallace's NPI currently active?
Yes, Brian Wallace's NPI status is Active as of the latest CMS NPPES database updates.
What does Brian Wallace specialize in?
Brian Wallace specializes in Physical Therapy. The healthcare taxonomy code associated with this specialty is 2251X0800X.
Where does Brian Wallace practice?
Brian Wallace practices in Fort Bragg, NC 28310-6920.
When was Brian Wallace's NPI issued?
Brian Wallace's NPI was issued on September 7, 2006.
What is Brian Wallace's provider type?
Brian Wallace is registered as an Individual Provider under CMS NPI Type 1.