HomeNPI Verification

NPI Verification

National Provider Identifier: 1164159257

Brendan Wallace, MD

Individual Provider

Credentials

Primary Specialty

Urology

Code: 208800000X

Practice Address

98 FOUNTAIN ST

BANGOR, ME 044013848

Phone: 613-806-2243

NPI Enumeration Date

August 8, 2022

NPI Number

1164159257

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry