Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRIAN DAVID WALLACE, MD
ActiveMR. BRIAN DAVID WALLACE, MD is a Diagnostic Radiology healthcare provider located in FRANKLIN, Kentucky. NPI 1831198811 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · FRANKLIN, KY
Registration Details
- NPI Number
- 1831198811
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2005 (21.103146401186 yrs)
- Last Updated
- Oct 28, 2015
- Licenses
-
39483 (KY)MD0000040992 (TN)
Practice Information
- Address
-
1100 BROOKHAVEN RDFRANKLIN, KY, 421342746Browse KY providers · Browse ZIP 42134
- Phone
- 3176149849
- Fax
- 3174281044
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in FRANKLIN, KY
| Name | Credential | NPI |
|---|---|---|
| ERIC M EDDS | MD | 1528271152 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.