WALLACE UROLOGY INC
NPI 1316496664
Urology in Memphis, TN

Q: What is Wallace Urology Inc's NPI number?

The NPI number for Wallace Urology Inc is 1316496664. It was assigned to this organization in the NPPES registry on September 28, 2016.

Q: What is Wallace Urology Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since September 28, 2016

1325 EASTMORELAND AVE STE 425, MEMPHIS, TN 38104(901) 272-3200(901) 278-3441 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wallace Urology Inc NPPES

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

WALLACE UROLOGY INC (NPI 1316496664) is a healthcare organization registered as an urology in Memphis, Tennessee and active in the NPI registry since September 2016. The organization lists Charles Russell Wallace, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1316496664

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameWALLACE UROLOGY INC

Location Address1325 EASTMORELAND AVE STE 425Memphis, TN 38104-7541

Mailing Address1325 Eastmoreland Ave Ste 425Memphis, TN 38104-7541 · (901) 272-3200 · Fax (901) 278-3441

Phone(901) 272-3200

Fax(901) 278-3441

Organization SubpartNo

Authorized OfficialCharles Russell WallaceMedical Doctor · (901) 272-3200

Enumeration DateSeptember 28, 2016

✔ NPI 1316496664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in TN · 015359

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1325 EASTMORELAND AVE STE 425, Memphis, TN 38104

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CHARLES R. WALLACE, JR., MD

Urology

1325 EASTMORELAND AVE STE 425
MEMPHIS, TN 38104

Shelby County (901) 272-3200

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 Wallace Urology Inc's NPI number?

The NPI number for Wallace Urology Inc is 1316496664. It was assigned to this organization in the NPPES registry on September 28, 2016.

Where is Wallace Urology Inc located?

Wallace Urology Inc is located at 1325 Eastmoreland Ave Ste 425, Memphis, TN 38104. The listed phone number is (901) 272-3200.

What is Wallace Urology Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Wallace Urology Inc was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.