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

Brianna M Wallace, PA-C

Individual provider Physician Assistant · NPI 1184486235

Brianna M Wallace, PA-C is a Physician Assistant in Cherry Hill, New Jersey. Qualified in 2023, 3 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Delaware, Maryland and New Jersey.

Years since qualifying
3
Licensed in
DE, MD, NJ
In the registry since
2024
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1945 Route 70 E Ste D
Cherry Hill, NJ 08003-2160
Phone: (856) 237-8045
Fax: (856) 237-8047
Show map & directions

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

Additional practice locations (2)

  • 4755 Ogletown Stanton Road, Newark, DE 19718-2200 — (302) 623-0188
  • 1132 Cooper St, Deptford, NJ 08096-3014 — (856) 848-8060

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00835000 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence C5-0012199 (DE)
Physician Assistant Taxonomy 363A00000X · Licence C0009759 (MD)

Record details

NPI number1184486235
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 24, 2024
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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