Brian Robert Wallace

D.O. | Sports Medicine | 16+ years Exp


  
1250 Pine Ridge Rd, Suite 203, Naples
Florida, 34108-8913

 236-261-2663     239-262-5633Maps & Directions
Brian Robert Wallace is a Naples, Florida based male orthopedic surgeon with 16 years of experience in Sports Medicine. He completed his graduation from Ohio University, College Of Osteopathic Medicine in 2008. He is also affiliated with hospitals like Naples Community Hospital and Physicians Regional Medical Center - Pine Ridge. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Brian Robert Wallace is OS12629 for Sports Medicine in Florida.
Brian Robert Wallace is trained in sports medicine which help to provide appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Complete Profile:
Brian Robert Wallace speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Orthopedic - Sports Medicine
Credentials: D.O.
Experience: 16+ years
Medical School Attended:Ohio University, College Of Osteopathic Medicine
Graduation Year:2008
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:1250 Pine Ridge Rd, Suite 203, Naples,
Florida, 34108-8913
Phone:236-261-2663
Fax:239-262-5633

Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 4688808157
Enrollment ID: I20140829000497
NPI Number: 1518118462
NPI Enumeration Date: 08 Oct, 2008
NPI Last Update On: 24 Jun, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brian Robert Wallace are as mentioned below.
License NumberSpecializationStateStatus
OS12629Sports Medicine FloridaPrimary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Naples Community Hospital (100018)Naples, FLAcute Care Hospital
Physicians Regional Medical Center - Pine Ridge (100286)Naples, FLAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Brian Robert Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Joint Replacement Institute Llc (2062572720)11
Other Medical Identifiers:
Other legacy medical identifiers associated with Brian Robert Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
34.010952OtherOhioMEDICAL LICENSE OH
OS12629OtherFloridaMEDICAL LICENSE FL
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 3466 Pine Ridge Rd, Ste A
Naples, Florida
Zip: 34109-3883
Phone Number: 239-261-2663
Fax Number: 236-262-5633
Patients can reach Brian Robert Wallace at 1250 Pine Ridge Rd, Suite 203, Naples, Florida or can call to book an appointment on 236-261-2663. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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