IndividualActive
Wallace Bradford, PHARMACIST
NPI 1376655969 · Pharmacist · Beaumont, TX
Wallace Bradford, PHARMACIST is a Pharmacist provider in Beaumont, TX (NPI 1376655969).
Provider details
- NPI number
- 1376655969
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMACIST
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36667 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
3420 Veterans Cir
Beaumont, TX 77707-2552
Phone: (409) 981-8570
Street-level locationGet directions
Mailing address
125 Hunters Ct
Lumberton, TX 77657-7317
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Frequently asked questions
- What is Wallace Bradford's NPI number?
- Wallace Bradford's National Provider Identifier (NPI) is 1376655969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wallace Bradford's specialty?
- Wallace Bradford is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Wallace Bradford located?
- Wallace Bradford's practice location on file with NPPES is 3420 Veterans Cir, Beaumont, TX 77707-2552.
- What is Wallace Bradford's phone number?
- The practice phone number listed in the NPPES registry for Wallace Bradford is (409) 981-8570.
- Is Wallace Bradford's NPI active?
- Yes — Wallace Bradford's NPI (1376655969) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.