NPPES file of Aug 9, 2026

Bradley A. Wallace, MD

Neurological Surgery Physician · Jacksonville, FL

Bradley A. Wallace, MD is a neurological surgery physician with a practice address in Jacksonville, Florida, and NPI 1134160161, issued on Jun 9, 2006. Check the license (Florida ME91779, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1134160161
Name
Bradley A. Wallace
Credential
MD
Primary taxonomy
Neurological Surgery Physician 207T00000X
License number
ME91779 FL
Self-reported in NPPES; status is on the state search
Practice location
836 Prudential Dr Ste 1400, Jacksonville, FL 32207
Phone
(904) 388-6518
Enumerated
Jun 9, 2006
Record last updated
Jun 17, 2026
Fax
(904) 384-1005
Medicaid ID
2744978500 FL
Medicare enrollment
Enrolled (PECOS I20061005000183); accepts Medicare assignment
Medical or professional school
University Of Arkansas College Of Medicine, 1998
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 836 Prudential Dr Ste 1400

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Anthony Abrigo, FNP-CNurse Practitioner1578144523
  2. Amin Aghaebrahim, M.D.Vascular Neurology Physician1558504423
  3. Pedro Aguilar Salinas, MDNeurological Surgery Physician1407351760
  4. Heather Bean, ARNPAcute Care Nurse Practitioner1104200450
  5. Marcia Camero, APRNNurse Practitioner1639598352
  6. Wendy Camp, ARNPNurse Practitioner1538296249

Verify Bradley A. Wallace in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license ME91779
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Florida license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $387.07

6 payments; by number, the most common kind was food and beverage; the largest payer was Intrinsic Therapeutics. The 5,377 providers of this specialty with any payment received $14,925.58 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Bradley Wallace$387
  2. Specialty average$14,926

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Lyerly Baptist IncJacksonville, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Bradley A. Wallace among 644 neurological surgery physician records in Florida

Bradley A. Wallace, MD is one of 644 neurological surgery physician records with a practice address in Florida. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 10% of them.

  • NPI issued2006 · 10% of these records are older, 54% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated1998 · median 2004 among the 429 with a school on file
  • Record last updated2026 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207T00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Neurological Surgery Physician providers in Florida

There are 644 neurological surgery physician records in Florida.

The 8 neurological surgery physician records with the nearest ZIP codes

  1. Philipp Aldana, M.D.Jacksonville, FL 322071831117092
  2. Alexandra Beier, DOJacksonville, FL 322071902925738
  3. Andrew Cannestra, MDJacksonville, FL 322071659328029
  4. Javier Garcia-Bengochea, MDJacksonville, FL 322071134174550
  5. Ricardo Hanel, M.D., PHDJacksonville, FL 322071356394936
  6. Daniel Ikeda, M.D.Jacksonville, FL 322071164751947
  7. Hector James, MDJacksonville, FL 322071023081700
  8. Paulo Monteiro, MDJacksonville, FL 322071184670135

Common questions

What is Bradley A. Wallace, MD's NPI number?

Bradley A. Wallace, MD's National Provider Identifier (NPI) is 1134160161, issued on Jun 9, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Bradley A. Wallace, MD located?

The NPPES record lists a practice address at 836 Prudential Dr Ste 1400, Jacksonville, FL, 32207. Phone: (904) 388-6518. Providers update this record themselves, so call before visiting.

How can I verify Bradley A. Wallace, MD's license?

NPPES lists Florida license number ME91779, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Bradley A. Wallace, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.