Bradley Wallace, MD
NPI 1134160161 · Neurological Surgery Physician · Jacksonville, FL
Enrolled with Medicare as Practitioner - Neurosurgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bradley Wallace, MD is a Neurological Surgery Physician provider in Jacksonville, FL (NPI 1134160161).
Provider details
- NPI number
- 1134160161
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME91779 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,434 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Telephone Medical Discussion With Physician, 21-30 Minutes99443 | 319 | $132 |
| Insertion of Cage Or Mesh Device to Spine Bone and Disc Space During Spine Fusion22853 | 221 | $274 |
| Partial Removal of Spine Bone With Release of Lower Spinal Cord And/Or Nerves, 1 Segment63047 | 91 | $1,077 |
| Fusion of Upper Spine Bone With Removal of Disc and Release of Spinal Cord Or Nerve, Each Additional Disc22552 | 80 | $435 |
| Release of Lower Spinal Cord And/Or Nerves, Single Segment63056 | 65 | $925 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$387 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1370 13th Ave S Ste 118Jacksonville Beach, FL 32250-3206Phone: (904) 388-6518Fax: (904) 388-1005
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2026-02-18
- Certified
- 2026-02-18
Frequently asked questions
- What is Bradley Wallace's NPI number?
- Bradley Wallace's National Provider Identifier (NPI) is 1134160161, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bradley Wallace's specialty?
- Bradley Wallace is listed in the NPPES registry with a primary specialty of Neurological Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Bradley Wallace located?
- Bradley Wallace's practice location on file with NPPES is 836 Prudential Dr Ste 1400, Jacksonville, FL 32207-8340.
- What is Bradley Wallace's phone number?
- The practice phone number listed in the NPPES registry for Bradley Wallace is (904) 388-6518.
- Does Bradley Wallace accept Medicare?
- Bradley Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bradley Wallace's NPI active?
- Yes — Bradley Wallace's NPI (1134160161) is active in the NPPES registry as of the last update on 2026-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.