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DR. MICHAEL ANTHONY WALLACE DO
NPI 1447199864
Student in an Organized Health Care Education/Training Program in Bradenton, FL

Active since March 28, 2026
2020 59TH ST W, BRADENTON, FL 34209(941) 257-2581 Get Directions Write a Review

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

About Dr. Michael Anthony Wallace Do NPPES

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

DR. MICHAEL ANTHONY WALLACE DO (NPI 1447199864) is an individual student in an organized health care education/training program in Bradenton, Florida and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1447199864
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MICHAEL ANTHONY WALLACECredential: DO
Location Address2020 59TH ST WBradenton, FL 34209-4604
Mailing Address2020 59th St WBradenton, FL 34209-4604 · (941) 257-2581
Phone(941) 257-2581
Sole ProprietorNo
Enumeration DateMarch 28, 2026
NPPES CertifiedMarch 28, 2026
✔ NPI 1447199864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2020 59TH ST W, Bradenton, FL 34209
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Other Providers at the Same Location NPPES 20

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

VANGUARD EMERGENCY PHYSICIANS, LLC
Emergency Medicine
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (469) 401-2386
DR. ISHPAUL BHAMBER DO
Internal Medicine
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 792-6611
CONNOR JOSEPH BREIDENBACH DO
Student in an Organized Health Care Education/Training Program
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 792-6611
BRYAN NAJJAR PA
Hospitalist
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (706) 863-9595
NANCY GIBBS
Occupational Therapist
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 798-6557
JEREMY HEAD
Radiology (Diagnostic Radiology)
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 798-6513
AHMAD GHAFOOR MD
Student in an Organized Health Care Education/Training Program
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 567-2581
AMMALIE BITTAR
Student in an Organized Health Care Education/Training Program
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 567-2581

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 Michael Wallace's NPI number?

The NPI number for Michael Wallace is 1447199864. It was assigned to this individual provider in the NPPES registry on March 28, 2026.

Where is Michael Wallace located?

Michael Wallace practices at 2020 59th St W, Bradenton, FL 34209. The listed phone number is (941) 257-2581.

What is Michael Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Michael Wallace was last updated on March 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.