IndividualActive
Brian Wallace, MD
NPI 1801864350 · Geriatric Medicine (Internal Medicine) Physician · Baltimore, MD
Provider details
- NPI number
- 1801864350
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- D31136 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9005 Kilbride Rd
Baltimore, MD 21236-2017
Phone: (443) 904-6999
Approximate (ZIP-level) locationGet directions
Mailing address
9005 Kilbride Rd
Baltimore, MD 21236-2017
Registry dates
- Enumerated
- 2006-03-10
- Last updated
- 2013-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.