Brendan Wallace, MD

Individual Active
NPI 1164159257
Urology Physician Bangor, ME

NPI 1164159257 belongs to Brendan Wallace, MD, an urology physician with a practice location in Bangor, ME. The NPI was issued on August 8, 2022, and the record was last updated in NPPES on August 8, 2022.

Taxonomies and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X MD25666 (ME)

Practice location

55 Broadway
Bangor, ME 04401-5201
Phone: (207) 947-0469

Local context

Active NPPES records list 9 providers with urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 8 of them within 10 miles.

The same primary taxonomy is listed by 88 in Maine and 19,364 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Brendan Wallace
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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