Individual provider · Type 1 NPI

Bradley Wallace, MD

Surgery Physician · Colorado Springs, CO

NPI number 1881038115 Active

Practice location

1400 E Boulder St Ste 500
Colorado Springs, CO 80909-5533

Call (719) 364-6487 Map

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071

Other practice locations

  • 13001 E. 17th Place, University Of Colorado School Of Medicine Gme, Aurora, CO 80045-2581 · (303) 724-2680

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XDR.0063071 (CO)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1881038115

Bradley Wallace, MD's National Provider Identifier is 1881038115, issued on Apr 17, 2013. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jun 23, 2022.