Gary Wallace, M.D., FAAFP
NPI 1962484634 · Family Medicine Physician · Fort Bragg, NC
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gary Wallace, M.D., FAAFP is a Family Medicine Physician provider in Fort Bragg, NC (NPI 1962484634).
Provider details
- NPI number
- 1962484634
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., FAAFP
- Sex
- Male
- License
- J8821 (TX)
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
20 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
- 2005-11-17
- Last updated
- 2007-07-08
Frequently asked questions
- What is Gary Wallace's NPI number?
- Gary Wallace's National Provider Identifier (NPI) is 1962484634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Wallace's specialty?
- Gary Wallace is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Gary Wallace located?
- Gary Wallace's practice location on file with NPPES is Bldg 5-4257, Fort Bragg, NC 28310-0001.
- What is Gary Wallace's phone number?
- The practice phone number listed in the NPPES registry for Gary Wallace is (910) 907-9560.
- Does Gary Wallace accept Medicare?
- Gary Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gary Wallace's NPI active?
- Yes — Gary Wallace's NPI (1962484634) 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.