Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518001312 Individual Practitioner Female Practitioner

B J Wallace

General Practice • Englewood, CO

Professional Overview & Biography Verified Profile Summary

B Wallace is a registered healthcare professional specializing in General Practice in Englewood, CO. Practice services are available at 2955 S BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2955 S Broadway

Englewood, CO 801131526

Telephone 3037881124
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Englewood, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Englewood, CO (331 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CO 11470

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

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Kaiser-Commercial Number
005083

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kathleen Carlson , RN

Internal Medicine

NPI 1003946856

Registered Nurse

Shawna Mitchell , FNP-C

Nurse Practitioner - Family

NPI 1043553472

Family Nurse Practitioner (Certified)

Cole Forbes

Pharmacist

NPI 1053151340
Julie Aguilar

Internal Medicine

NPI 1053448027
Susan Sauve

Internal Medicine

NPI 1053455840
Janet Naumann

Licensed Practical Nurse

NPI 1114113461

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 05, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2007

Registered at 2955 S BROADWAY, ENGLEWOOD, CO 801131526 (Tel: 3037881124)

📍
Updated Business Mailing Address October 05, 2007

Registered at 2955 S BROADWAY, ENGLEWOOD, CO 801131526 (Tel: 3037881124)

👤
Provider Name / Credentials Updated October 05, 2007

Recorded as B WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2007

General Practice (License #11470 in CO)

🟢
Initial NPI Registration & Enumeration February 16, 2007

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: 1518001312
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2007
Last Update: October 05, 2007
Sole Proprietor: No

Mailing Address

2955 S Broadway

Englewood, CO 801131526

Phone: 3037881124

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.