BRYAN MICHAEL WALLACE SOIDC
NPI 1336825926
Military Health Care Provider - Independent Duty Corpsman in Camp Lejeune, NC
About Bryan Michael Wallace Soidc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRYAN MICHAEL WALLACE SOIDC (NPI 1336825926) is an individual independent duty corpsman provider in Camp Lejeune, North Carolina and active in the NPI registry since June 2023.
NPPES Registry Identity
Specialties & Licenses
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FPO, AA 28542
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 Bryan Wallace's NPI number?
The NPI number for Bryan Wallace is 1336825926. It was assigned to this individual provider in the NPPES registry on June 27, 2023.
Where is Bryan Wallace located?
Bryan Wallace practices at 1st Marine Raider Battalion Stone Bay, Camp Lejeune, NC 28542. The listed phone number is (910) 440-2504.
What is Bryan Wallace's specialty?
The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.
When was this NPI record last updated?
The NPPES record for Bryan Wallace was last updated on June 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
