Bradley Wallace, LMFT
NPI 1215706528 · Marriage & Family Therapist · Bristol, TN
Enrolled with Medicare as Practitioner - Marriage and Family Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bradley Wallace, LMFT is a Marriage & Family Therapist provider in Bristol, TN (NPI 1215706528).
Provider details
- NPI number
- 1215706528
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- LMFT
- Sex
- Male
- Sole proprietor
- No
- License
- 1777 (TN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-12-28
- Last updated
- 2025-03-04
- Certified
- 2025-03-04
Frequently asked questions
- What is Bradley Wallace's NPI number?
- Bradley Wallace's National Provider Identifier (NPI) is 1215706528, 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 Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Bradley Wallace located?
- Bradley Wallace's practice location on file with NPPES is 1145 Volunteer Pkwy, Bristol, TN 37620-4652.
- What is Bradley Wallace's phone number?
- The practice phone number listed in the NPPES registry for Bradley Wallace is (423) 989-4500.
- 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 (1215706528) is active in the NPPES registry as of the last update on 2025-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.