DR. BRENT E WALLACE (MD) – Family Medicine Physician, NPI 1124136221

DR. BRENT E WALLACE (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 771610101205 (UT). The NPI Number for DR. BRENT E WALLACE (MD) is 1124136221

Main info

Male
Name
DR. BRENT E WALLACE (MD)
NPI
1124136221
Phone
(801) 387-8100
Address
PO BOX 27128
Enumeration Date
28 August 2006
Last Update Date
10 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. BRENT E WALLACE (MD)

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (801) 387-8100

    Type: Mailing

  • Herefordshire Clinic, 1915, West 5950 South, Roy, Weber County, Utah, 84067, United States

    ROY, UT 840671454

    Phone: (801) 387-8100

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84127)

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Reviews

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Frequently asked questions

What NPI should I save for DR. BRENT E WALLACE (MD)?
Save NPI 1124136221 if you need a stable reference for DR. BRENT E WALLACE (MD).
Is DR. BRENT E WALLACE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. BRENT E WALLACE (MD) treat or focus on?
Patients typically see DR. BRENT E WALLACE (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. BRENT E WALLACE (MD)?
The snapshot lists Salt Lake City, Utah for DR. BRENT E WALLACE (MD); download NPPES for the complete set.
Is DR. BRENT E WALLACE (MD) a real provider?
This page reflects official NPPES data for NPI 1124136221. Always confirm identity and privileges with the practice and licensing boards.

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