Dr Brent E Wallace, MD - Family Medicine in Roy, UT

Dr Brent E Wallace, MD is a Family Medicine physician based in Roy, Utah. Dr Brent E Wallace is licensed to practice in Utah (license number 771610101205) and his current practice location is 1915 W 5950 S, Roy, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 387-8100.

NPI number for Dr Brent E Wallace is 1124136221 and his current mailing address is Po Box 27128, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124136221.

Contact Information

Dr Brent E Wallace, MD
1915 W 5950 S,
Roy, UT 84067-1454
(801) 387-8100
Not Available



Physician's Profile

Full NameDr Brent E Wallace
GenderMale
SpecialityFamily Medicine
Location1915 W 5950 S, Roy, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124136221
  • Provider Enumeration Date: 08/28/2006
  • Last Update Date: 07/10/2008

Medical Identifiers

Medical identifiers for Dr Brent E Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124136221NPI-NPPES
870348215008MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 771610101205 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brent E Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Brent E Wallace, MD
Po Box 27128,
Salt Lake City, UT 84127-0128

Ph: (801) 387-8100
Dr Brent E Wallace, MD
1915 W 5950 S,
Roy, UT 84067-1454

Ph: (801) 387-8100

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› Verified 4 days ago


Family Medicine Doctors in Roy, UT

Kurtis Don Ellis, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1915 W 5950 S, Roy, UT 84067
Phone: 801-387-8100    Fax: 801-475-1621
Diane Eh Wilson, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1937 W 5700 S, Roy, UT 84067
Phone: 801-773-9380    
Jared Don Hiatt, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1915 W 5950 S, Roy, UT 84067
Phone: 801-387-8100    
Kelly R Amann, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3485 W 5200 S, Roy, UT 84067
Phone: 801-475-3900    Fax: 801-475-3901
Dr. John R Wood, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1915 W 5950 S, Roy, UT 84067
Phone: 801-387-8100    
Dr. Isaac Samuel Sparks, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1915 W 5950 S, Family Medicine, Roy, UT 84067
Phone: 801-387-8100    Fax: 801-387-8223

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