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MRS. BRANDI WALLACE HAIR LOSS SPECIALIST
NPI 1457019135
Specialist - Prosthetics Case Management in Salisbury, MD

Active since November 30, 2021
235 W MAIN ST STE E, SALISBURY, MD 21801(443) 447-2028 Get Directions Write a Review

NPPES record last updated: December 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2021, Dec 16, 2021, Nov 30, 2021 (3 updates tracked since 2021).

About Mrs. Brandi Wallace Hair Loss Specialist NPPES

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

MRS. BRANDI WALLACE HAIR LOSS SPECIALIST (NPI 1457019135) is an individual prosthetics case management provider in Salisbury, Maryland, licensed in Maryland (418829) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1457019135
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameMRS. BRANDI WALLACECredential: HAIR LOSS SPECIALIST
Location Address235 W MAIN ST STE ESalisbury, MD 21801-4868
Mailing Address808 S Schumaker Dr Apt 1dSalisbury, MD 21804-9289 · (443) 447-2028
Phone(443) 447-2028
Sole ProprietorNo
Enumeration DateNovember 30, 2021
Last NPPES UpdateDecember 31, 20213 updates tracked since enumeration
NPPES CertifiedDecember 31, 2021
✔ NPI 1457019135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License✔ Licensed in MD · 418829
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
235 W MAIN ST STE E, Salisbury, MD 21801
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Other Providers at the Same Location NPPES

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

THE HAIR CLINIC RX, LLC
Durable Medical Equipment & Medical Supplies
235 W MAIN ST STE E
SALISBURY, MD 21801
Wicomico County (667) 281-9603

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 Brandi Wallace's NPI number?

The NPI number for Brandi Wallace is 1457019135. It was assigned to this individual provider in the NPPES registry on November 30, 2021.

Where is Brandi Wallace located?

Brandi Wallace practices at 235 W Main St Ste E, Salisbury, MD 21801. The listed phone number is (443) 447-2028.

What is Brandi Wallace's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Brandi Wallace was last updated on December 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.