Wallace Bruder, M.D.
NPI 1396769220 · Orthopaedic Surgery Physician · Traverse City, MI
Wallace Bruder, M.D. is a Orthopaedic Surgery Physician provider in Traverse City, MI (NPI 1396769220).
Provider details
- NPI number
- 1396769220
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301033897 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-07-26
- Last updated
- 2011-02-03
Frequently asked questions
- What is Wallace Bruder's NPI number?
- Wallace Bruder's National Provider Identifier (NPI) is 1396769220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wallace Bruder's specialty?
- Wallace Bruder is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Wallace Bruder located?
- Wallace Bruder's practice location on file with NPPES is 4045 W Royal Dr, Traverse City, MI 49684-8965.
- What is Wallace Bruder's phone number?
- The practice phone number listed in the NPPES registry for Wallace Bruder is (231) 935-0900.
- Is Wallace Bruder's NPI active?
- Yes — Wallace Bruder's NPI (1396769220) is active in the NPPES registry as of the last update on 2011-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.