Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487242087 Individual Practitioner Male Practitioner

Dr. Alec Nathaniel Wallace , DO

General Practice • Travis Afb, CA

Professional Overview & Biography Verified Profile Summary

Dr. Alec Wallace, DO is a registered healthcare professional specializing in General Practice in Travis Afb, CA. Practice services are available at 101 BODIN CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Bodin Cir

Travis Afb, CA 945351809

Telephone 7074233000
Associated Practice Facility / Clinic
🏢 60 Msgs Facility NPI 1306826953

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Travis Afb, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Travis Afb, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-21
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IN 02008162A

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kendra Hill , PT

Physical Therapist

NPI 1003232448

Physical Therapist

Dr. Timothy Guenther , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1003261892

Doctor of Medicine (M.D.)

Dr. Angela Giese , MD

Surgery - Vascular Surgery

NPI 1003266701

Doctor of Medicine (M.D.)

Dr. Megan Lee , MD

Student in an Organized Health Care Education/Training Program

NPI 1003669680

Doctor of Medicine (M.D.)

Dr. Steven Demartini , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1013131002

Doctor of Medicine (M.D.)

Alexandra Cleveland

Dentist - General Practice

NPI 1013406412

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2026

General Practice (License #02008162A in IN)

📍
Updated Business Mailing Address August 03, 2023

Registered at 101 BODIN CIR, TRAVIS AFB, CA 945351809

👤
Provider Name / Credentials Updated August 03, 2023

Recorded as ALEC WALLACE, DO

📍
Updated Practice Location March 08, 2023

Registered at 101 BODIN CIR, TRAVIS AFB, CA 945351809 (Tel: 7074233000)

NPI Profile Active January 08, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2021

Registered at 200 MULLINS DR, LEBANON, OR 973553983 (Tel: 5412590235)

📍
Updated Business Mailing Address January 08, 2021

Registered at 33435 TENNESSEE RD, LEBANON, OR 973559616 (Tel: 3605802990)

👤
Provider Name / Credentials Updated January 08, 2021

Recorded as ALEC WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 08, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487242087
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2021
Last Update: January 21, 2026
Sole Proprietor: Yes

Mailing Address

101 Bodin Cir

Travis Afb, CA 945351809

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.