Bradley Wallace, M.D.
NPI 1881038115ActiveIndividual· Surgery· Colorado Springs, CO
Surgery (M.D.) in Colorado Springs, Colorado, trained at University of Texas Southwestern Medical School at Dallas (class of 2013). Medicare paid $41,087 for services to 168 patients in 2024.
Overview
| NPI | 1881038115 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 17, 2013 |
| Last updated in NPPES | Jun 23, 2022 |
| Certified by provider | Jun 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | DR.0063071 | CO |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 168 |
|---|---|
| Services billed | 403 across 52 procedure codes |
| Paid by Medicare | $41,087 |
Education and affiliations
| Medical school | University of Texas Southwestern Medical School at Dallas |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | General Surgery |
Medical group
- Poudre Valley Medical Group LLCDenver, CO · 2,440 clinicians
Hospital affiliations
- Uch-Memorial Health SystemColorado Springs, CO
- Uchealth Grandview HospitalColorado Springs, CO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other general surgeons in Colorado Springs
- 1033321955
- 1093780165
- 1104803071
- 1174512347
- 1215314687
- 1295124071
- 1346595063
- 1437425634
- 1467508085
- 1639141732
- 1639159817
- 1710114731
All 72 general surgeons in Colorado Springs · All general surgeons in Colorado