1. Home
  2. Directory
  3. Michigan
  4. Adrian
  5. Chiropractor
  6. NPI Profile

BRIANNA KYLE WALLACE DC
NPI 1164085411
Chiropractor in Adrian, MI

Active since April 22, 2019Accepts Medicare Assignment
690 RIVERSIDE AVE, ADRIAN, MI 49221(177) 594-1835 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2020, Apr 22, 2019 (2 updates tracked since 2019).

About Brianna Kyle Wallace Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIANNA KYLE WALLACE DC (NPI 1164085411) is an individual chiropractor in Adrian, Michigan, licensed in Michigan (2301010808) and active in the NPI registry since April 2019. She is a graduate of Life Chiropractic College (2019).

NPPES Registry Identity

NPI1164085411
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameBRIANNA KYLE WALLACECredential: DC
Location Address690 RIVERSIDE AVEAdrian, MI 49221-1544
Mailing Address211 N Union StTecumseh, MI 49286-1342
Phone(177) 594-1835
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2019
Enumeration DateApril 22, 2019
Last NPPES UpdateJanuary 3, 20202 updates tracked since enumeration
✔ NPI 1164085411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301010808
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
690 RIVERSIDE AVE, Adrian, MI 49221
Open in Google Maps ↗

Other Identifiers 1

Medicaid2301010808MI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brianna Kyle Wallace Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820404767
PECOS Enrollment IDI20210301002488

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUMMER MARIE PEREZ DC
Chiropractor
690 RIVERSIDE AVE
ADRIAN, MI 49221
Lenawee County (517) 759-4183
MUHAMMAD RAFIQ MIAN M.D.
Ophthalmology
690 RIVERSIDE AVE
ADRIAN, MI 49221
Lenawee County (734) 604-8890
FAMILY MEDICAL CENTER OF MICHIGAN, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
690 RIVERSIDE AVE
ADRIAN, MI 49221
Lenawee County (571) 438-8162
SPECTRUM CHIROPRACTIC AND HEALTH
Chiropractor
690 RIVERSIDE AVE
ADRIAN, MI 49221
Lenawee County (177) 594-1835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brianna Wallace's NPI number?

The NPI number for Brianna Wallace is 1164085411. It was assigned to this individual provider in the NPPES registry on April 22, 2019.

Where is Brianna Wallace located?

Brianna Wallace practices at 690 Riverside Ave, Adrian, MI 49221. The listed phone number is (177) 594-1835.

What is Brianna Wallace's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Brianna Wallace enrolled in Medicare?

Yes. Brianna Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brianna Wallace was last updated on January 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.