Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley S Wallace, LMFT

Individual provider Marriage & Family Therapist · NPI 1215706528

Bradley S Wallace, LMFT is a Marriage and Family Therapist in Bristol, Tennessee. Qualified in 1994, 32 years ago. Practices with Frontier Health, a 69-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
32
Licensed in
TN
In the registry since
2023
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.

See every abbreviation used in this directory →

Practice location Address checks out

1145 Volunteer Pkwy
Bristol, TN 37620-4652
Phone: (423) 989-4500
Fax: (423) 989-4582
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 1777 (TN)

Record details

NPI number1215706528
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT
Sole proprietorNo
NPI enumeratedDecember 28, 2023
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Frontier Health — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bristol