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ALEC NATHANIEL WALLACE DO
NPI 1487242087
General Practice in Travis Afb, CA

Active since January 08, 2021PECOS Enrolled
101 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-3000 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2026, Mar 8, 2023, Jan 8, 2021 (3 updates tracked since 2021).

About Alec Nathaniel Wallace Do NPPES

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

ALEC NATHANIEL WALLACE DO (NPI 1487242087) is an individual general practice provider in Travis Afb, California, licensed in Indiana (02008162A) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487242087
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameALEC NATHANIEL WALLACECredential: DO
Location Address101 BODIN CIRTravis Afb, CA 94535-1809
Mailing Address101 Bodin CirTravis Afb, CA 94535-1809
Phone(707) 423-3000
Sole ProprietorYes
Enumeration DateJanuary 8, 2021
Last NPPES UpdateJanuary 21, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2026
✔ NPI 1487242087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IN · 02008162A
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
101 BODIN CIR, Travis Afb, CA 94535
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alec Nathaniel Wallace Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

EDWARD SEAN RODRIGUEZ I.D.M.T
Military Health Care Provider (Independent Duty Medical Technicians)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-5478
KENDRA MONICA HILL PT
Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3000
TIMOTHY GUENTHER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3000
ANGELA GIESE MD
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Solano County (707) 423-3000
DR. JOSCELYN D. A. C. AQUININGOC PHARMD
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (626) 297-8649
CATHERINE CELINE BRANSTETTER
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-7085
MEGAN ELIZABETH LEE MD
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
FAIRFIELD, CA 94535
Solano County (707) 423-3000
DR. STEVEN DANIEL DEMARTINI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
101 BODIN CIR
TRAVIS AFB, CA 94535
Solano County (707) 423-3000

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 Alec Wallace's NPI number?

The NPI number for Alec Wallace is 1487242087. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Where is Alec Wallace located?

Alec Wallace practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-3000.

What is Alec Wallace's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Alec Wallace enrolled in Medicare?

Yes. Alec Wallace is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alec Wallace was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.