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Deactivated NPI 1386638252 Deactivated / Inactive NPI Male Practitioner

Dr. Brent H Wallace , MD

Internal Medicine • Cleburne, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Brent Wallace has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 07, 2005
NPI Deactivation Date March 24, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Brent Wallace, MD was a registered Internal Medicine practicing in Cleburne, TX. Throughout an active medical career spanning 1 years, Dr. Wallace provided care at the practice location at 141 HYDE PARK BLVD until profile deactivation on 2006-03-24.

Practice Location & Contact Primary Location

Practice Address

141 Hyde Park Blvd

Cleburne, TX 760334561

Telephone 8176415221
Fax 8175175241
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cleburne, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.1 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Cleburne, TX (9538 Statewide)

Telehealth Adoption Rate
63.6% 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

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX F2093

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Career & Practice History Timeline

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

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 141 HYDE PARK BLVD, CLEBURNE, TX 760334561 (Tel: 8176415221)

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Updated Business Mailing Address July 08, 2007

Registered at 141 HYDE PARK BLVD, CLEBURNE, TX 760334561 (Tel: 8176415221)

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Provider Name / Credentials Updated July 08, 2007

Recorded as BRENT WALLACE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #F2093 in TX)

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NPI Profile Reactivated April 12, 2006

Record officially reactivated for active practice on April 12, 2006

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NPI Profile Deactivated March 24, 2006

Record deactivated on March 24, 2006

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Initial NPI Registration & Enumeration September 07, 2005

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: 1386638252
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2005
Last Update: July 08, 2007
Deactivation Date: March 24, 2006
Sole Proprietor: Yes

Mailing Address

141 Hyde Park Blvd

Cleburne, TX 760334561

Phone: 8176415221

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.